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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 30, 2024 1:08 PM CDT
Next Update: Tuesday, April 30, 2024 4:30 PM CDT

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BALLARD, ANNA ELIZABETH
Practice Address: 6195 LUSK BLVD
STE 250
SAN DIEGO CA 92121

Address last updated on 2/20/2024
Phone #: (858) 859-1188
Fax #:
County: NOT OKLAHOMA
License: 4576
Dated: 4/21/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 4/20/2021
Temp. Ltr. Expires: 5/13/2021
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
6195 LUSK BLVD
STE 250
SAN DIEGO CA 92121

Phone #: (858) 859-1188
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
WHITNEY LYNN TOLPINRUD MD 32030

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