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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MAKIN, ADAM OREN       
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: 949 E TAFT
SAPULPA OK 74066

Address last updated on 3/4/2024
Phone #: (918) 224-6079
Fax #:
County: TULSA
License: 1792
Dated: 4/1/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 11/23/2016
Temp. Ltr. Expires: 3/2/2017
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:
949 E TAFT
SAPULPA OK 74066

Phone #: (918) 224-6079
Fax #:

Hospital Privileges:

Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SYED HAMZA AHMED MD 31634
KRIS ARMSTRONG MD 13729
JACK HOWARD BROWN MD 16933
SCOTT WILLIAMS DO 3517

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