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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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MATLI, JORDAN B       
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: INTEGRIS ORTHOPEDICS YUKON
1651 PROFESSIONAL CIRCLE
YUKON OK 73099

Address last updated on 2/14/2024
Phone #: (405) 350-6770
Fax #:
County: OKLAHOMA
License: 2825
Dated: 12/19/2017
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:
INTEGRIS ORTHOPEDICS YUKON
1651 PROFESSIONAL CIRCLE
YUKON OK 73099

Phone #: (405) 350-6770
Fax #:

Hospital Privileges:

Southwestern Medical Center
Lawton, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SARAH CHRISTENSEN MD 33068
JOHN LARSON GLOMSET III MD 29497
THOMAS JOSEPH MD 24778
COREY MAYO DO 4862
Craig A. Rogers DO 5677

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