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Last Update: Friday, April 26, 2024 7:06 PM CDT
Next Update: Saturday, April 27, 2024 2:50 AM CDT

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DEBOLT, NICHOLAS DUNCAN GREEN
Practice Address: ADVANCED ORTHOPEDICS OF OKLAHOMA
2488 E 81ST ST STE 290
TULSA OK 74137-4265

Address last updated on 2/22/2024
Phone #: (918) 494-2665
Fax #: (918) 927-3193
County: TULSA
License: 2194
Dated: 1/22/2013
Expires: 3/31/2025
Temp. Ltr. Issued: 1/4/2013
Temp. Ltr. Expires: 4/1/2013
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
ADVANCED ORTHOPEDICS OF OKLAHOMA
2488 E 81ST ST STE 290
TULSA OK 74137-4265

Phone #: (918) 494-2665
Fax #: (918) 927-3193

Hospital Privileges:

Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRADFORD LEE BOONE MD 17634

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