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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 1:39 PM CDT
Next Update: Sunday, May 5, 2024 4:30 PM CDT

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SELF, MAXWELL
Practice Address: COMMUNITY HEALTH CENTER OF MIAMI
106 NW VETERANS BLVD
MIAMI OK 74354

Address last updated on 2/26/2024
Phone #:
Fax #:
County: OTTAWA
License: 37821
Dated: 3/25/2021
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1992
CME Year: 2027
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
COMMUNITY HEALTH CENTER OF MIAMI
106 NW VETERANS BLVD
MIAMI OK 74354

Phone #:
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMBER HUNZIKER APRN 5572

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