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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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TUTTY, MACKENZIE NICOLE       
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: JUNO MEDICAL
21 N GREENWOOD
SUITE 1A
TULSA OK 74120

Address last updated on 4/25/2024
Phone #: (918) 380-8860
Fax #: (646) 871-6863
County: TULSA
License: 2600
Dated: 1/15/2016
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:
JUNO MEDICAL
21 N GREENWOOD
SUITE 1A
TULSA OK 74120

Phone #: (918) 380-8860
Fax #: (646) 871-6863

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JOHN GLADSTONE ABRAHAM MD 27255
AARTI AGARWAL MD 38984
WILLIAM JARVIS BOWEN MD 17278
RYAN WAYNE DENNIS MD 27136
JABRAAN SAJJAAD PASHA MD 30107
ROBERT STONE DO 3833

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