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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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TANNER, NATHAN VERN       
Practice Address: 360 DEGREE MEDICINE
MERCY-430 N MONTE VISTA ST
ADA OK 74820

Address last updated on 6/11/2024
Phone #: (580) 332-2323
Fax #:
County: PONTOTOC
License: 43919
Dated: 6/7/2024
Expires: 6/1/2025
License Type: Medical Doctor
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
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:
360 DEGREE MEDICINE
MERCY-430 N MONTE VISTA ST
ADA OK 74820

Phone #: (580) 332-2323
Fax #:

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