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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, April 24, 2024 3:08 PM CDT
Next Update: Thursday, April 25, 2024 2:50 AM CDT

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JOHNSON, BLAKE WESLEY
Practice Address: UTICA PARK CLINIC ORTHOPEDICS
8803 S 101ST E AVE, STE 100
TULSA OK 74133

Address last updated on 4/19/2024
Phone #: (918) 574-0220
Fax #:
County: TULSA
License: 2424
Dated: 12/29/2014
Expires: 3/31/2025
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:
UTICA PARK CLINIC ORTHOPEDICS
8803 S 101ST E AVE, STE 100
TULSA OK 74133

Phone #: (918) 574-0220
Fax #:

Hospital Privileges:

Craig General Hospital
Vinita, OK
Hillcrest Hospital South
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
St. Francis Hospital
Tulsa, OK
Tulsa Spine & Specialty Hospital
Tulsa, OK
Utica Park Clinic
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RICHARD DRAKE DO 4066

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