DEBOLT, NICHOLAS DUNCAN GREEN - Licensee Information

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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST

DEBOLT, NICHOLAS DUNCAN GREEN

Practice Address:	ADVANCED ORTHOPEDICS OF OKLAHOMA 2488 E 81ST ST STE 290 TULSA OK 74137-4265 Address last updated on 2/22/2024
Phone #:	(918) 494-2665
Fax #:	(918) 927-3193
County:	TULSA
License:	2194
Dated:	1/22/2013
Expires:	3/31/2025
Temp. Ltr. Issued:	1/4/2013
Temp. Ltr. Expires:	4/1/2013
License Type:	Physician Assistant
Specialty:

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:
ADVANCED ORTHOPEDICS OF OKLAHOMA 2488 E 81ST ST STE 290 TULSA OK 74137-4265 Phone #: (918) 494-2665 Fax #: (918) 927-3193

Hospital Privileges:

Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisor(s):
BRADFORD LEE BOONE	MD	17634