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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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MADDOX, ANTHONY KYLE II       
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: ADVANCED ORTHOPEDICS OF OKLAHOMA
2488 E 81ST ST STE 290
TULSA OK 74137

Address last updated on 2/19/2024
Phone #: (918) 494-2665
Fax #: (918) 927-3193
County: TULSA
License: 4835
Dated: 7/25/2022
Expires: 3/31/2025
Temp. Ltr. Issued: 7/15/2022
Temp. Ltr. Expires: 7/28/2022
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:
ADVANCED ORTHOPEDICS OF OKLAHOMA
2488 E 81ST ST STE 290
TULSA OK 74137

Phone #: (918) 494-2665
Fax #: (918) 927-3193

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RALPH TYLER BOONE MD 18846
CHRISTOPHER ANDREW BROWNE MD 22532
THOMAS G. CRAVEN MD 19312
JEFFREY LAWRENCE CUNNINGHAM MD 30836
BRYAN JOSEPH HAWKINS MD 18573
RANDALL LANE HENDRICKS MD 16238
SARAT C. KUNAPULI DO 5401
RONALD S. LABUTTI DO 3363
JAY DARIN LORTON MD 19839
ROBERT S MARSH DO 6022
CYRUS DEAN MOTAZEDI DO 3977
SCOTT EDWARD RAHHAL MD 17265
WILLIAM LUTHER SHELTON MD 38394
BLAKE EDWARD SHOCKLEY MD 25050

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