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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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STUTZMAN, TIFFANY       
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: PREMIER PLUS URGENT CARE
1616 S MUSTANG RD
YUKON OK 73099

Address last updated on 2/8/2024
Phone #:
Fax #:
County: CANADIAN
License: 2720
Dated: 1/26/2017
Expires: 3/31/2025
Temp. Ltr. Issued: 12/19/2016
Temp. Ltr. Expires: 3/3/2017
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:
PREMIER PLUS URGENT CARE
1616 S MUSTANG RD
YUKON OK 73099

Phone #:
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRENT D CHANDLER DO 3841

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