EWERT, MINDY DIANE - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

EWERT, MINDY DIANE

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:	TULSA BONE AND JOINT 4812 S 109TH E AVENUE 1ST FLOOR TULSA OK 74146-5822 Address last updated on 2/13/2024
Phone #:	(918) 392-1400
Fax #:
County:	TULSA
License:	2666
Dated:	4/21/2016
Expires:	3/31/2025
Temp. Ltr. Issued:	4/5/2016
Temp. Ltr. Expires:	5/13/2016
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:
TULSA BONE AND JOINT 4812 S 109TH E AVENUE 1ST FLOOR TULSA OK 74146-5822 Phone #: (918) 392-1400 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
BRITNEY ELSE	DO	5502
ALAN LEE MARTIN	MD	17399
WILLIAM LAWRENCE SURBECK II	MD	16971

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