MARTZ, RANDALL STUART - Licensee Information

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Last Update: Tuesday, December 24, 2024 1:13 PM CST
Next Update: Tuesday, December 24, 2024 4:30 PM CST

MARTZ, RANDALL STUART

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:	IMMEDIATE CARE OF OKLAHOMA 5701 SE 74TH ST STE E OKLAHOMA CITY OK 73135 Address last updated on 10/10/2024
Phone #:	(405) 400-1096
Fax #:
County:	OKLAHOMA
License:	2899
Dated:	5/14/2018
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:
IMMEDIATE CARE OF OKLAHOMA 5701 SE 74TH ST STE E OKLAHOMA CITY OK 73135 Phone #: (405) 400-1096 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
RODNEY MCCRORY	DO	2750
RYAN D WILSON	DO	4123

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