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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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DEBOLT, NICHOLAS DUNCAN GREEN       
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: 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:
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:
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

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

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