MARIANO, MICHAEL ANTHONY - Licensee Information

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

MARIANO, MICHAEL ANTHONY

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:	SPECIALTY PROSTHETICS AND ORTHOTICS OF TULSA 10338 EAST 21ST TULSA OK 74129 Address last updated on 2/21/2023
Phone #:	(918) 832-7768
Fax #:
County:	TULSA
License:	129
Dated:	3/15/2023
Expires:	12/31/2026
License Type:	Licensed Prosthetist/Orthotist
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:
SPECIALTY PROSTHETICS AND ORTHOTICS OF TULSA 10338 EAST 21ST TULSA OK 74129 Phone #: (918) 832-7768 Fax #:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
MICHAEL O'BRIEN FENNER	LPO	13

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