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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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FORTNA, RYAN ROBERT       
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: NORTHWEST PATHOLOGY PS DBA AVERO DIAGNOSTICS
1800 RENAISSANCE BLVD
SUITE L100
EDMOND OK 73013

Address last updated on 7/29/2024
Phone #: (866) 987-7284
Fax #:
County: OKLAHOMA
License: 41051
Dated: 8/29/2023
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Anatomic Pathology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: MED COLL OF PA, PHILADELPHIA PA 19129
Graduated: 5 / 2006
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 PATHOLOGY (Anatomic) - Dermatopathology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
NORTHWEST PATHOLOGY PS DBA AVERO DIAGNOSTICS
1800 RENAISSANCE BLVD
SUITE L100
EDMOND OK 73013

Phone #: (866) 987-7284
Fax #:
Mon:
Tue:
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