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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, November 5, 2024 10:12 AM CST
Next Update: Tuesday, November 5, 2024 12:00 PM CST

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RUTLEDGE, THEODORE MARK       
Practice Address: CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER DRIVE
ADA OK 84790-2579

Address last updated on 3/10/2024
Phone #: (580) 436-3980
Fax #: (580) 421-4552
County: PONTOTOC
License: 33535
Dated: 4/10/2018
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Wright St Univ Boonshoft SOM, Dayton OH
Graduated: 6 / 1991
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER DRIVE
ADA OK 84790-2579

Phone #: (580) 436-3980
Fax #: (580) 421-4552
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00AM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STEPHANIE DAWN LEU PA 1098

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