MUELLER, MALLORI SHEA - Licensee Information

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

MUELLER, MALLORI SHEA

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:	TRAUMA ORTHOPEDIC SURGERY OU HEALTH/INPATIENT HOSPITAL 700 NE 13TH ST OKLAHOMA CITY OK 73104 Address last updated on 2/9/2024
Phone #:	(405) 271-5656
Fax #:
County:	OKLAHOMA
License:	5250
Dated:	4/1/2024
Expires:	3/31/2025
Temp. Ltr. Issued:	2/16/2024
Temp. Ltr. Expires:	5/16/2024
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2026

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:
TRAUMA ORTHOPEDIC SURGERY OU HEALTH/INPATIENT HOSPITAL 700 NE 13TH ST OKLAHOMA CITY OK 73104 Phone #: (405) 271-5656 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
BRANDON REECE HULL	MD	35707
THOMAS P. LEHMAN	MD	20240
SANTARAM VALLURUPALLI	MD	30833

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