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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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MILLSAP, DESTRI WAYNE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: TULSA BONE & JOINT ASSOCIATES
12455 E 100TH ST N #120
OWASSO OK 74055

Address last updated on 8/7/2024
Phone #: (918) 272-9464
Fax #:
County: TULSA
License: 1019
Dated: 9/7/2017
Expires: 8/31/2025
Temp. Ltr. Issued: 8/18/2017
Temp. Ltr. Expires: 9/14/2017
License Type: Athletic Trainer
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
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:
TULSA BONE & JOINT ASSOCIATES
12455 E 100TH ST N #120
OWASSO OK 74055

Phone #: (918) 272-9464
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CALEB ANDREW NUNLEY MD 25872

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