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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 10:09 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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DAVIS, MITCHELL RYAN
Practice Address: CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Address last updated on 5/2/2021
Phone #: (580) 436-3980
Fax #: (580) 272-1016
County: PONTOTOC
License: 20654
Dated: 6/5/1998
Expires: 6/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduated: 5 / 1995
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.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Chickasaw Nation Medical Center
Ada, OK
Locations: Hours: Languages:
CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Phone #: (580) 436-3980
Fax #: (580) 272-1016
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AKILAH DUNN APRN 12319
CHRISTOPHER POARCH APRN 70689

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