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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 19, 2024 1:49 PM CDT
Next Update: Sunday, May 19, 2024 4:30 PM CDT

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TROYER, TRACY ANN       
Practice Address: INTEGRIS JIM THORPE REHABILITATION
4219 S. WESTERN AVE
OKLAHOMA CITY OK 73109

Address last updated on 3/4/2024
Phone #: (405) 644-5256
Fax #:
County: OKLAHOMA
License: 5104
Dated: 10/20/2023
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:
INTEGRIS JIM THORPE REHABILITATION
4219 S. WESTERN AVE
OKLAHOMA CITY OK 73109

Phone #: (405) 644-5256
Fax #:

Hospital Privileges:

INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Edmond
Edmond, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JAMES EDWARD APPLEBURY MDC 42156
CHRISTINA COOK BARTON MD 39519
CHARLES EDWIN COTTLE II MD 34905
LOUIS HOWARD COX MD 15895
KRISTI GOODWIN SELF MD 18173
MICHAEL SHAWN SMITH MD 18758
DAVID BRENT TIPTON MD 18762
Alan Tran DO 7611

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