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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 3:47 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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RHODES, MANDI BROOKE       
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: SSM MOORE
828 SW 4TH STREET
MOORE OK 73160

Address last updated on 2/15/2024
Phone #: (405) 799-7400
Fax #: (405) 799-7405
County: CLEVELAND
License: 1836
Dated: 6/26/2009
Expires: 3/31/2025
Temp. Ltr. Issued: 6/11/2009
Temp. Ltr. Expires: 7/24/2009
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:
SSM MOORE
828 SW 4TH STREET
MOORE OK 73160

Phone #: (405) 799-7400
Fax #: (405) 799-7405

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SCOTT E. DELLINGER DO 2584
Gary E. Griffin DO 3822
DAVID ALLAN LONG II MD 20241

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