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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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ANDERSON, CHRISTI DAWN       
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: 17611 S MUSKOGEE AVE
TAHLEQUAH OK 74464

Address last updated on 2/23/2024
Phone #: (918) 207-4911
Fax #: (918) 458-6221
County: CHEROKEE
License: 1527
Dated: 4/26/2006
Expires: 3/31/2025
Temp. Ltr. Issued: 2/17/2006
Temp. Ltr. Expires: 5/13/2006
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:
17611 S MUSKOGEE AVE
TAHLEQUAH OK 74464

Phone #: (918) 207-4911
Fax #: (918) 458-6221

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRETT MCNEIL GRAY MD 19493
DOUGLAS CLAYTON NOLAN DO 3870

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