CORWIN, CAMRYN DYAN - Licensee Information

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

CORWIN, CAMRYN DYAN

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:	OKLAHOMA HEART INSTITUTE 1265 S UTICA SUITE 105 TULSA OK 74104 Address last updated on 3/7/2024
Phone #:	(918) 749-6400
Fax #:
County:	TULSA
License:	4943
Dated:	1/5/2023
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:
OKLAHOMA HEART INSTITUTE 1265 S UTICA SUITE 105 TULSA OK 74104 Phone #: (918) 749-6400 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
ADEL MOHAMED BARKAT	MD	33220
MICHAEL RAY PHILLIPS	MD	29306

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