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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Wednesday, December 25, 2024 2:50 AM CST

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MYCHAK, NATHAN ZACHARY       
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: CONCENTRA
6101 W RENO AVE.
STE 800
EDMOND OK 73127

Address last updated on 4/9/2022
Phone #: (405) 495-3085
Fax #:
County: OKLAHOMA
License: 2552
Dated: 10/22/2015
Expires: 3/31/2019
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2019
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:
CONCENTRA
6101 W RENO AVE.
STE 800
EDMOND OK 73127

Phone #: (405) 495-3085
Fax #:

Hospital Privileges:

None listed

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