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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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WILSON, MATTHEW RYAN       
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: UTICA PARK CLINIC - GENERAL SURGERY
1809 E 13TH ST
SUITE 400
TULSA OK 74104

Address last updated on 4/1/2024
Phone #: (918) 588-8008
Fax #: (918) 579-2559
County: TULSA
License: 31405
Dated: 5/14/2015
Expires: 5/1/2024
License Type: Medical Doctor
Specialty: Colon & Rectal Surgery
General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 5 / 2006
CME Year: 2024
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 COLON AND RECTAL SURGERY
AMERICAN BOARD OF SURGERY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UTICA PARK CLINIC - GENERAL SURGERY
1809 E 13TH ST
SUITE 400
TULSA OK 74104

Phone #: (918) 588-8008
Fax #: (918) 579-2559
Mon: 8:30AM - 5:30PM
Tue: 8:30AM - 5:30PM
Wed: 8:30AM - 5:30PM
Thu: 8:30AM - 5:30PM
Fri: 8:30AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STEPHANIE MCQUARTERS APRN 72210

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