VORWALD, BROCK WILLIAM - 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

VORWALD, BROCK WILLIAM

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:	724 24TH AVE NW SUITE 220 NEUROSURGERY ASSOCIATES NORMAN OK 73069 Address last updated on 3/4/2024
Phone #:	(405) 307-3300
Fax #:
County:	OKLAHOMA
License:	3000
Dated:	11/8/2018
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:
724 24TH AVE NW SUITE 220 NEUROSURGERY ASSOCIATES NORMAN OK 73069 Phone #: (405) 307-3300 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
DANIEL CLAY COCHRAN	MD	29115
STEPHEN J. EICHERT	DO	2764
MICHAEL DAVID MARTIN	MD	22447

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