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MATHIAS, JONATHAN MARIO       
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: 5300 N INDEPENDENCE AVE
SUITE 280
OKLAHOMA CITY OK 73112

Address last updated on 7/25/2014
Phone #: (405) 713-7403
Fax #:
County: OKLAHOMA
License: 30518
Dated: 4/28/2014
Expires: 4/1/2016
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: CREIGHTON UNIV SCH OF MED, OMAHA NE 68178
Graduated: 5 / 2011
CME Year: 2017
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
5300 N INDEPENDENCE AVE
SUITE 280
OKLAHOMA CITY OK 73112

Phone #: (405) 713-7403
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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