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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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GAUT, ANDREW WAYNE       
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: 6475 S YALE AVE
SUITE 401
TULSA OK 74136

Address last updated on 2/24/2024
Phone #: (918) 502-9555
Fax #: (918) 502-9559
County: TULSA
License: 32874
Dated: 4/25/2017
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
Head & Neck Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduated: 6 / 2000
CME Year: 2026
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 OTOLARYNGOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
6475 S YALE AVE
SUITE 401
TULSA OK 74136

Phone #: (918) 502-9555
Fax #: (918) 502-9559
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
EMILY ANN CARTER PA 2870
SARA RENEE' HATTAWAY PA 2105

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