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DECKERT, ANTHONY J       
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: 150 E 21ST ST
APT D
TULSA OK 74114-1151
Phone #:
Fax #:
County: TULSA
License: 460
Dated: 9/28/1985
Expires: 3/31/1987
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Void
Restricted to:
CME Year:
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:
150 E 21ST ST
APT D
TULSA OK 74114-1151

Phone #:
Fax #:

Hospital Privileges:

None listed

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