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Last Update: Friday, May 17, 2024 10:13 AM CDT
Next Update: Friday, May 17, 2024 12:00 PM CDT

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BULLOCK, HEATHER PATRICIA       
Practice Address: MERCY PAIN MANAGEMENT I35
2017 WEST I-35 FRONTAGE ROAD
SUITE 130
EDMOND OK 73013

Address last updated on 3/11/2024
Phone #: (405) 757-3630
Fax #:
County: OKLAHOMA
License: 4976
Dated: 2/24/2023
Expires: 3/31/2025
Temp. Ltr. Issued: 11/18/2022
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.
Locations: Hours: Languages:
MERCY PAIN MANAGEMENT I35
2017 WEST I-35 FRONTAGE ROAD
SUITE 130
EDMOND OK 73013

Phone #: (405) 757-3630
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHAWN ELLIS DO 4757
RYAN ALAN VINCENT MD 30777

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