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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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BARBETTINI, ANTHONY NICHOLAS       
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 CLINIC BROKEN ARROW
800 W BOISE CIRCLE
#160
BROKEN ARROW OK 74012

Address last updated on 3/18/2024
Phone #: (918) 994-9160
Fax #:
County: TULSA
License: 1347
Dated: 5/10/2004
Expires: 3/31/2025
Temp. Ltr. Issued: 4/8/2004
Temp. Ltr. Expires: 7/31/2004
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:
ST JOHN CLINIC BROKEN ARROW
800 W BOISE CIRCLE
#160
BROKEN ARROW OK 74012

Phone #: (918) 994-9160
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
THOMAS MATTHEW AUXTER DO 3071
Lawrence Cook DO 7087
KIMBERLY NICHOLE DAVIS MD 27796
Herman Gonzalez DO 6408
Warren Christopher Hancock DO 5221
NICOLE PAOLA MATHES MD 43726
ROBERT GERALD NIEBERGALL MD 13607
MICHELLE O'MEARA DO 4221
TUAN ANH PHAM MD 33096
Ashley Wessler Pojezny DO 5613
R JEFF WRIGHT DO 1989

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