Oklahoma State SealOklahoma State Seal
Oklahoma Board of Medical Licensure and Supervision

Search Results

Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 PM CDT

Return to Search Licensees page

DEWILDE, RAEGAN
Practice Address: FAIRVIEW REGIANL MEDICAL CENTER
523 E STATE RD
FAIRVIEW OK 73737

Address last updated on 3/27/2024
Phone #: (580) 227-2585
Fax #:
County: MAJOR
License: 4698
Dated: 11/2/2021
Expires: 3/31/2025
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:
FAIRVIEW REGIANL MEDICAL CENTER
523 E STATE RD
FAIRVIEW OK 73737

Phone #: (580) 227-2585
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN STEPHEN PRICE MD 16520

Return to Search Licensees page