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BUSHA, DOUGLAS MARTIN       
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: CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Address last updated on 2/7/2013
Phone #: (800) 851-9136
Fax #:
County: PONTOTOC
License: 967
Dated: 5/27/1999
Expires: 3/31/2014
Temp. Ltr. Issued: 3/25/1999
Temp. Ltr. Expires: 7/24/1999
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Phone #: (800) 851-9136
Fax #:

Hospital Privileges:

None listed

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