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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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MOORE, MATTHEW HENRY       
Practice Address: NORTHEASTERN TRIBAL HEALTH SYSTEM
7600 S HIGHWAY CLINIC
MIAMI OK 74354

Address last updated on 8/13/2024
Phone #: (918) 542-1655
Fax #:
County: OTTAWA
License: 1732
Dated: 4/23/2008
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:
NORTHEASTERN TRIBAL HEALTH SYSTEM
7600 S HIGHWAY CLINIC
MIAMI OK 74354

Phone #: (918) 542-1655
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
James C. Eaton DO 2163
PAUL KONRAD FUHRMEISTER MD 23275

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