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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 4:48 AM CDT
Next Update: Thursday, May 2, 2024 12:00 PM CDT

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MAMATOV, ERIN MARIE
Practice Address: 1200 CHILDRENS AVE
OKLAHOMA CITY OK 73012

Address last updated on 10/17/2023
Phone #:
Fax #:
County: OKLAHOMA
License: 35001
Dated: 11/1/2020
Expires: 11/1/2024
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 5 / 2019
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.
Certifications: AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: OU Medical Center
Oklahoma City, OK
Locations: Hours: Languages:
1200 CHILDRENS AVE
OKLAHOMA CITY OK 73012

Phone #:
Fax #:
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DEBORAH KURTZ APRN 47168

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