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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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BURNS, LARRY LEON JR       
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: CHOCTAW NATION HEALTH CLINIC STIGLER
2204 E MAIN ST
STIGLER OK 74462

Address last updated on 6/24/2024
Phone #: (918) 967-9200
Fax #:
County: HASKELL
License: 2920
Dated: 6/21/2018
Expires: 3/31/2025
Temp. Ltr. Issued: 5/29/2018
Temp. Ltr. Expires: 9/13/2018
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:
CHOCTAW NATION HEALTH CLINIC STIGLER
2204 E MAIN ST
STIGLER OK 74462

Phone #: (918) 967-9200
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
THOMAS CHARLES BONIN MD 21066
Zachary Cruse DO 7626
ABDOLKARIM KHORASANCHIAN MD 12251
NORMAN WESLEY MCALESTER MD 20290
VICTORIA E. PARDUE DO 2840
Tyler Edward Tait DO 6079

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