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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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POPP, JODIE LYNN       
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: ERNEST CHILDERS VA OUTPATIENT CLINIC
9322 E 41ST ST
TULSA OK 74145

Address last updated on 3/10/2024
Phone #: (918) 252-8000
Fax #:
County: TULSA
License: 1287
Dated: 9/3/2003
Expires: 3/31/2025
Temp. Ltr. Issued: 8/28/2003
Temp. Ltr. Expires: 11/22/2003
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:
ERNEST CHILDERS VA OUTPATIENT CLINIC
9322 E 41ST ST
TULSA OK 74145

Phone #: (918) 252-8000
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TUANA DINH DIEP MD 19087

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