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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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MCCULLOUGH, MACKENZIE ALLEN       
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: SSM HEALTH MEDICAL GROUP- FAMILY MEDICINE CENTER
608 NW 9TH SUITE 1100
OKLAHOMA CITY OK 73102

Address last updated on 6/5/2024
Phone #: (405) 231-3000
Fax #:
County: OKLAHOMA
License: 38220
Dated: 8/22/2023
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: Med Univ of the Americas
Graduated: 5 / 2021
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SSM HEALTH MEDICAL GROUP- FAMILY MEDICINE CENTER
608 NW 9TH SUITE 1100
OKLAHOMA CITY OK 73102

Phone #: (405) 231-3000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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