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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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MIDDAUGH, MICHAEL GENE       
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: 6500 N PORTLAND AVE
OKLAHOMA CITY OK 73116

Address last updated on 1/16/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 5289
Dated: 5/30/2017
Expires: 1/31/2025
License Type: Physical Therapist
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:
6500 N PORTLAND AVE
OKLAHOMA CITY OK 73116

Phone #:
Fax #:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KIMBERLY MICHELLE CAMPBELL TA 2288
TAYLOR GRANT ERWIN TA 3116
TROY JAMES GEARY TA 1895
ANGELIA KAY MASON TA 466
CALEB NATHANIEL PEEBLES TA 1704
JORDAN ROSS PYLE TA 3309
ALICIA MARIE QUAID TA 2907
TATUM TENEKE REAGAN TA 2017
EMILY RUTH TRAVIS JOHNSON TA 887

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