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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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HARRISON, AMY       
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: OSU INTERNAL MEDICINE
717 S HOUSTON AVE SUITE 304
TULSA OK 74127
Address last updated on 8/15/2024
Phone #: (918) 382-5064
Fax #:
County: TULSA
License: 1872
Dated: 1/19/2010
Expires: 3/31/2025
Temp. Ltr. Issued: 12/28/2009
Temp. Ltr. Expires: 5/21/2010
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:
OSU INTERNAL MEDICINE
717 S HOUSTON AVE SUITE 304
TULSA OK 74127
Phone #: (918) 382-5064
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DAMON BAKER DO 3174
MOUSUMI SOM DO 4558

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