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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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COPPEDGE, MITCHELL DEAN
Practice Address: FIVE OAKS FAMILY MEDICAL CLINIC
2100 W IOWA AVE
STE A
CHICKASHA OK 73018-2736

Address last updated on 6/6/2022
Phone #: (405) 779-2721
Fax #: (405) 779-2310
County: GRADY
License: 19462
Dated: 8/24/1995
Expires: 8/1/2024
Training Issued: 6/30/1994
Training Expires: 6/1/1996
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 5 / 1994
CME Year: 2024
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.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Grady Memorial Hospital
Chickasha, OK
Locations: Hours: Languages:
FIVE OAKS FAMILY MEDICAL CLINIC
2100 W IOWA AVE
STE A
CHICKASHA OK 73018-2736

Phone #: (405) 779-2721
Fax #: (405) 779-2310
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DELANIE BERRY APRN 99427
LAURA LOUISE KADECHUK PA 1947
KYLIE LEE APRN 5585
DIADRA P. LORSEH PA 2040
DEVON JESSICA MUNCY PA 1493
MARY AMANDA ROSS PA 1949

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