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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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ERVIN, ALEXANDRIA MARIE
Practice Address: W.W. HASTINGS CHEROKEE NATION
100 BLISS AVENUE
TAHLEQUAH OK 74464

Address last updated on 3/26/2024
Phone #: (918) 458-3100
Fax #:
County: CHEROKEE
License: 2940
Dated: 6/21/2018
Expires: 3/31/2025
Temp. Ltr. Issued: 6/4/2018
Temp. Ltr. Expires: 9/13/2018
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:
W.W. HASTINGS CHEROKEE NATION
100 BLISS AVENUE
TAHLEQUAH OK 74464

Phone #: (918) 458-3100
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Thomas Fruits DO 6654
JAMES WILLIAM STALLCUP MD 27612

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