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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, November 13, 2024 1:18 PM CST
Next Update: Wednesday, November 13, 2024 4:30 PM CST

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HEINZE, ALEXANDRIA       
Practice Address: UTICA PARK CLINIC
1145 SOUTH UTICA SUITE 202
TULSA OK 74104

Address last updated on 5/3/2024
Phone #: (918) 579-3130
Fax #:
County: TULSA
License: 5254
Dated: 4/24/2024
Expires: 3/31/2025
Temp. Ltr. Issued: 4/19/2024
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:
UTICA PARK CLINIC
1145 SOUTH UTICA SUITE 202
TULSA OK 74104

Phone #: (918) 579-3130
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MELANIE NYEH KETCHANDJI MD 31609

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