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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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ZIELENSKI, BLYTHE HOLLAND       
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: MEDWISE URGENT CARE
11495 S STATE HIGHWAY 51
COWETA OK 74429

Address last updated on 10/17/2024
Phone #: (918) 994-3476
Fax #:
County: WAGONER
License: 1032
Dated: 3/8/2000
Expires: 3/31/2025
Temp. Ltr. Issued: 4/10/2008
Temp. Ltr. Expires: 5/16/2008
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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.
Locations: Hours: Languages:
MEDWISE URGENT CARE
11495 S STATE HIGHWAY 51
COWETA OK 74429

Phone #: (918) 994-3476
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DENNIS S. BLACKSTAD DO 3650
BRENNON COX DO 3940
Regina M. Lewis DO 4093
BARBARA RYGIEL DO 3048

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