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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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POTEAT, TAMARA ANASTASIA       
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: OU PHYSICIANS CLINIC
825 NE 10TH STE 5D
OKLAHOMA CITY OK 73104

Address last updated on 3/7/2024
Phone #: (405) 271-9493
Fax #:
County: OKLAHOMA
License: 1819
Dated: 4/16/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 2/12/2009
Temp. Ltr. Expires: 5/22/2009
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:
OU PHYSICIANS CLINIC
825 NE 10TH STE 5D
OKLAHOMA CITY OK 73104

Phone #: (405) 271-9493
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
ADAM HARE MD 38008
JESSICA GAMBILL PUTMAN MD 39481
LIESCHEN HAYDEE QUIROZ MD 26218

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