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Oklahoma Board of Medical Licensure and Supervision

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

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GATZMAN, SIDNEY JOSEPH       
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: MUSKOGEE CREEK NATION INDIAN HEALTH CENTER
500 EUNICE BURNS DR.
EUFAULA OK 74432

Address last updated on 7/11/2024
Phone #: (918) 618-4413 x5166
Fax #: (918) 618-2166
County: MCINTOSH
License: 2323
Dated: 4/3/1995
Expires: 1/31/2025
Temp. Ltr. Issued: 2/2/1994
Temp. Ltr. Expires: 8/16/1994
License Type: Physical Therapist
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:
MUSKOGEE CREEK NATION INDIAN HEALTH CENTER
500 EUNICE BURNS DR.
EUFAULA OK 74432

Phone #: (918) 618-4413 x5166
Fax #: (918) 618-2166
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MISTY ANN CARTER TA 1304
NOELANI KANIELE CORBIN TA 3774
PHILLIP LEROY HALL JR TA 494

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