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Last Update: Monday, November 4, 2024 1:08 PM CST
Next Update: Monday, November 4, 2024 4:30 PM CST
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ROBISON, GRANT AVERY
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Practice Address: |
1120 S UTICA AVE
TULSA OK 74104
Address last updated on 2/5/2024 |
Phone #: |
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Fax #: |
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County: |
OKLAHOMA |
License: |
3153 |
Dated: |
2/11/2020 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
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1/24/2020 |
Temp.
Ltr.
Expires:
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3/5/2020 |
License Type: |
Physician Assistant |
Specialty: |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
DARREN ALAN THOMAS
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MD |
22449 |
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