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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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NETTLOW, MARY MCKENZIE       
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: ST JOHN JANE PHILLIPS MEDICAL CENTER
3500 SE FRANK PHILLIPS BLVD
BARTLESVILLE OK 74006

Address last updated on 4/3/2022
Phone #: (918) 333-7200
Fax #:
County: WASHINGTON
License: 38290
Dated: 6/1/2021
Expires: 6/1/2023
License Type: Medical Doctor
Specialty: Physical Medicine & Rehabilitation
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduated: 6 / 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 PHYSICAL MEDICINE/REHABILITATION
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
Hospital(s) Not In Oklahoma
,
Locations: Hours: Languages:
ST JOHN JANE PHILLIPS MEDICAL CENTER
3500 SE FRANK PHILLIPS BLVD
BARTLESVILLE OK 74006

Phone #: (918) 333-7200
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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