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Oklahoma Board of Medical Licensure and Supervision

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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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CONDIE, TIMOTHY       
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: CORE CLINICAL PARTNERS
1120 S UTICA AVE
TULSA OK 74014

Address last updated on 6/3/2024
Phone #: (918) 579-5220
Fax #: (405) 713-2794
County: TULSA
License: 30847
Dated: 8/10/2015
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Keck Sch of Med of the USC, LOS ANGELES CA 90089
Graduated: 5 / 2014
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
CORE CLINICAL PARTNERS
1120 S UTICA AVE
TULSA OK 74014

Phone #: (918) 579-5220
Fax #: (405) 713-2794
Mon: 7:00AM - 7:00PM
Tue: 7:00AM - 7:00PM
Wed: 7:00AM - 7:00PM
Thu: 7:00AM - 7:00PM
Fri: 7:00AM - 7:00PM
Sat: 7:00AM - 7:00PM
Sun: 7:00AM - 7:00PM
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY MARIE CAMPBELL PA 2013
NANDINI ASNANI DHAMEJA PA 2919
CINDY LEE DUNLAP PA 2075
KAYLYNN COATS ELMORE PA 1953
MINI GEORGE PA 1334
LAURA KATHRYN HOLMAN PA 2726
LARRY MARTIN HYTCHE PA 1975
KELSEY NICOLE KLEIN PA 2391
JENNIFER RENEE MEANS PA 2084
DAVID JOSEPH OLSON PA 2248
ANITA RAQUEL RAMIREZ PA 3165
LEONARDO RAUCH PA 1733
SHAYNIEL STEARS PA 2708
RICHELLE CHRISTINE VOTH PA 2427

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