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Last Update: Wednesday, May 8, 2024 4:47 AM CDT
Next Update: Wednesday, May 8, 2024 12:00 PM CDT
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|
TAYLOR, PAIGE NICOLE |
| Practice Address: |
US DERMATOLOGY PARTNERS
900 E 13TH ST
GROVE OK 74344
Address last updated on 3/22/2024 |
| Phone #: |
(417) 624-0440 |
| Fax #: |
|
| County: |
DELAWARE |
| License: |
4622 |
| Dated: |
7/14/2021 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
6/23/2021 |
|
Temp.
Ltr.
Expires:
|
7/29/2021 |
| License Type: |
Physician Assistant |
| Specialty: |
|
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| CME Year: |
2025 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
DEREK SHANE TOWERY
|
MD |
18877 |
|
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