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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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KOMLODI, TATUM BREANNE       
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: MERCY CLINIC ORTHOPEDIC ASSOCIATES
3301 NW 50TH ST
OKLAHOMA CITY OK 73112

Address last updated on 7/5/2024
Phone #: (405) 947-0911
Fax #:
County: OKLAHOMA
License: 1378
Dated: 9/1/2024
Expires: 8/31/2025
Temp. Ltr. Issued: 8/1/2024
Temp. Ltr. Expires: 9/19/2024
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:
MERCY CLINIC ORTHOPEDIC ASSOCIATES
3301 NW 50TH ST
OKLAHOMA CITY OK 73112

Phone #: (405) 947-0911
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STEVEN PAUL BRANTLEY MD 28487
MICHAEL EDWIN KIEHN MD 23364

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