REYES, MICHAEL JOSEPH - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

REYES, MICHAEL JOSEPH

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:	CHICKASAW NATION TISHOMINGO CLINIC 817 E. 6TH ST TISHOMINGO OK 73460 Address last updated on 2/1/2024
Phone #:	(580) 371-2361
Fax #:	(580) 371-9672
County:	JOHNSTON
License:	1474
Dated:	11/10/2005
Expires:	3/31/2025
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:
CHICKASAW NATION TISHOMINGO CLINIC 817 E. 6TH ST TISHOMINGO OK 73460 Phone #: (580) 371-2361 Fax #: (580) 371-9672

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
NATALIE BRIXEY	MD	30325
Dillon Gillespie	DO	7391

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