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Oklahoma Board of Medical Licensure and Supervision

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

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TYNER, COURTNEY RYANE       
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: MERCY CLINIC PRIMARY CARE-EDMOND
2017 W I-35 FRONTAGE ROAD STE 170
EDMOND OK 73013

Address last updated on 10/2/2024
Phone #: (405) 757-3742
Fax #:
County: OKLAHOMA
License: 4652
Dated: 11/1/2021
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:
MERCY CLINIC PRIMARY CARE-EDMOND
2017 W I-35 FRONTAGE ROAD STE 170
EDMOND OK 73013

Phone #: (405) 757-3742
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Matthew Bryan Austin DO 5348
ERIKA ELISE BREEDLOVE MD 30748
MATTHEW THEODORE DRAELOS MD 15748
RYAN NEAL GOTCHER MD 29975
KRISTIN CAMILLE LEWIS MD 28624

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