LEU, MARK CHRISTOPHER - Licensee Information

Search Results

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

LEU, MARK CHRISTOPHER

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:	SOUTHERN OKLAHOMA UROLOGY INC 1414 ARLINGTON #2300 ADA OK 74820 Address last updated on 3/4/2024
Phone #:
Fax #:
County:	PONTOTOC
License:	722
Dated:	5/13/1995
Expires:	3/31/2025
Temp. Ltr. Issued:	4/3/1995
Temp. Ltr. Expires:	7/15/1995
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:
SOUTHERN OKLAHOMA UROLOGY INC 1414 ARLINGTON #2300 ADA OK 74820 Phone #: Fax #:

Hospital Privileges:

Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK

Name:	Type:	License Number:
Primary Supervisor(s):
GLEN EDWARD DIACON JR	MD	16231
PHILLIP TYLER FULLER	MD	30483

Return to Search Licensees page