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MANTOOTH, ROBIN MICHELLE       
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: PO BOX 667
PURCELL OK 73080

Address last updated on 7/29/2021
Phone #: (405) 307-1500
Fax #:
County: MCCLAIN
License: 19203
Dated: 9/29/1994
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Wayne State Univ SOM, Detroit Mi 48201
Graduated: 5 / 1992
CME Year: 2027
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.
Certifications: AMERICAN BOARD OF EMERGENCY MEDICINE
New Patients: Yes
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Norman Regional Hospital
Norman, OK
Locations: Hours: Languages:
PO BOX 667
PURCELL OK 73080

Phone #: (405) 307-1500
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRADLEY SCOTT BROWN PA 2908
SKYE CLARICE HELKER PA 2835
FARZANA JAHANGIR PA 2494
SEAN ANTHONY OLSEN PA 2724
REBECCA RUTH WELLINGTON PA 2125

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