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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, May 6, 2024 2:12 PM CDT
Next Update: Monday, May 6, 2024 4:30 PM CDT

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MAX, NATHAN ROBERT
Practice Address: OKLAHOMA CITY VA HEALTHCARE SYSTEM
921 NE 13TH STREET 111 C
OKLAHOMA CITY OK 73104

Address last updated on 3/18/2024
Phone #: (405) 456-2544
Fax #:
County: OKLAHOMA
License: 4561
Dated: 4/21/2021
Expires: 3/31/2025
Temp. Ltr. Issued: 3/25/2021
Temp. Ltr. Expires: 5/13/2021
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:
OKLAHOMA CITY VA HEALTHCARE SYSTEM
921 NE 13TH STREET 111 C
OKLAHOMA CITY OK 73104

Phone #: (405) 456-2544
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
GEORGE KURDGELASHVILI MD 22806

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