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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

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MANN, MARK BLAINE
Practice Address: 90 NORTH 30TH STREET #4
CLINTON OK 73601-4227

Address last updated on 6/7/2023
Phone #: (580) 323-0232
Fax #: (580) 331-1410
County: CUSTER
License: 20775
Dated: 7/20/1998
Expires: 7/1/2024
Training Issued: 7/31/1997
Training Expires: 8/1/1998
License Type: Medical Doctor
Specialty: Family Medicine
Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1997
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: Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Hospital Privileges: AllianceHealth Woodward (fmly Woodward Regional Hospital)
Woodward, OK
Locations: Hours: Languages:
90 NORTH 30TH STREET #4
CLINTON OK 73601-4227

Phone #: (580) 323-0232
Fax #: (580) 331-1410
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 2:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 2:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LINDSAY DLUGONSKI APRN 75676
BENJAMIN DALE HILL AT 1153
JESSICA SIMMONS APRN 1374

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