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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 25, 2024 7:02 PM CDT
Next Update: Friday, April 26, 2024 2:50 AM CDT

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GREENHAGEN, CHRISTOPHER WAYNE
Practice Address: PONCA CITY URGENT CARE AND FAMILY PRACTICE
1201 E HARTFORD AVE
PONCA CITY OK 74601

Address last updated on 4/8/2024
Phone #: (580) 762-1911
Fax #:
County: KAY
License: 2378
Dated: 4/1/2014
Expires: 3/31/2025
Temp. Ltr. Issued: 1/24/2014
Temp. Ltr. Expires: 4/1/2014
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:
PONCA CITY URGENT CARE AND FAMILY PRACTICE
1201 E HARTFORD AVE
PONCA CITY OK 74601

Phone #: (580) 762-1911
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARK ADAM OATMAN MD 26016
CHADWICK BENJAMIN ROSS DO 4329

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