FIELDS, CODY - Licensee Information - Oklahoma Medical Board

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

FIELDS, CODY

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:	UNIVERSITY OF TENNESSEE MEDICAL CENTER 1940 ALCOA HWY SUITE E-260 KNOXVILLE TN 37920 Address last updated on 3/22/2024
Phone #:	(865) 305-6955
Fax #:
County:	NOT OKLAHOMA
License:	3008
Dated:	2/14/2019
Expires:	3/31/2025
Temp. Ltr. Issued:	1/1/2019
Temp. Ltr. Expires:	3/7/2019
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:
UNIVERSITY OF TENNESSEE MEDICAL CENTER 1940 ALCOA HWY SUITE E-260 KNOXVILLE TN 37920 Phone #: (865) 305-6955 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
HAROLD MACDONALD BURKHART	MD	30311
GOZDE DEMIRALP	MD	27618

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