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Last Update: Sunday, April 28, 2024 6:57 PM CDT
Next Update: Monday, April 29, 2024 2:50 AM CDT
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PECK, JOHNATHAN WAYNE |
Practice Address: |
AVV CEALTH CENTERS
201 N 32ND ST.
MUSKOGEE OK 74401-2104
Address last updated on 3/6/2024 |
Phone #: |
(918) 912-2333 |
Fax #: |
|
County: |
MUSKOGEE |
License: |
4971 |
Dated: |
2/23/2023 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
|
1/25/2023 |
Temp.
Ltr.
Expires:
|
3/16/2023 |
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.
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Hospital Privileges:
None listed
|
Primary Supervisor(s):
|
Name: |
Type: |
License Number: |
Full/Part Time: |
Bryan K. Ledbetter
|
DO |
4427 |
|
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