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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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DUBE, DAVID THOMAS       
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: CCF GROUP - NURSING FACILITY
LONG-TERM CARE / OUTPATIENT CLINIC
11425 E 20TH ST, STE A
TULSA OK 74128

Address last updated on 7/17/2024
Phone #: (405) 549-0191
Fax #:
County: TULSA
License: 925
Dated: 11/12/1998
Expires: 3/31/2025
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:
CCF GROUP - NURSING FACILITY
LONG-TERM CARE / OUTPATIENT CLINIC
11425 E 20TH ST, STE A
TULSA OK 74128

Phone #: (405) 549-0191
Fax #:

Hospital Privileges:

Mercy Hospital OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHRISTOPHER FISHER MD 34007

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