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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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STOUT, MARK PATRICK       
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: MERCY ORTHOPEDIC ASSOCIATES
3301 NW 50TH STREET
SUITE 100
OKLAHOMA CITY OK 73112

Address last updated on 3/25/2024
Phone #: (405) 947-0911
Fax #:
County: OKLAHOMA
License: 2208
Dated: 1/11/2013
Expires: 3/31/2025
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:
MERCY ORTHOPEDIC ASSOCIATES
3301 NW 50TH STREET
SUITE 100
OKLAHOMA CITY OK 73112

Phone #: (405) 947-0911
Fax #:

Hospital Privileges:

Mercy Hospital OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STEVEN PAUL BRANTLEY MD 28487
JONATHAN HENRY CAPELLE MD 30586
Faustino Mires Kazenske DO 5505
WILLIAM WARREN STEWART MD 25765
CHARLES DAVID WOOD MD 32761

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