EVANS, MARK ANTHONY - Licensee Information

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

EVANS, MARK ANTHONY

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:	GRANITE FAMILY MEDICAL CLINIC 417 N. MAIN P.O. BOX 476 GRANITE OK 73547 Address last updated on 4/17/2024
Phone #:	(580) 872-4362
Fax #:	(580) 535-4725
County:	GREER
License:	802
Dated:	12/26/1996
Expires:	3/31/2025
Temp. Ltr. Issued:	8/1/1996
Temp. Ltr. Expires:	8/1/1997
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:
GRANITE FAMILY MEDICAL CLINIC 417 N. MAIN P.O. BOX 476 GRANITE OK 73547 Phone #: (580) 872-4362 Fax #: (580) 535-4725

Hospital Privileges:

Elkview General Hospital
Hobart, OK

Name:	Type:	License Number:
Primary Supervisor(s):
ASHUTOSH SUNIL KARNIK	MD	27466
JULIE ANNE SCHAUFELE	MD	22008

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