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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 23, 2024 6:58 PM CDT
Next Update: Wednesday, April 24, 2024 2:50 AM CDT

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JOHNSON, MARK DANIEL
Practice Address: OKLAHOMA SPORTS & ORTHOPEDIC INSTITUTE
13401 N. WESTERN AVE. SUITE 101
OKLAHOMA CITY OK 73134

Address last updated on 3/12/2024
Phone #: (405) 478-7111
Fax #: (405) 478-7112
County: OKLAHOMA
License: 485
Dated: 9/6/1986
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:
OKLAHOMA SPORTS & ORTHOPEDIC INSTITUTE
13401 N. WESTERN AVE. SUITE 101
OKLAHOMA CITY OK 73134

Phone #: (405) 478-7111
Fax #: (405) 478-7112

Hospital Privileges:

Bone and Joint Hospital (SSM Health)
Oklahoma City, OK
Community Hospital - OKC
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Northwest Surgical Hospital
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JAMES LEE BOND MD 21989
SCOTT MARTIN DE LA GARZA MD 21981
TIMOTHY MICHAEL GEIB MD 22888
RICHARD ALAN KIRKPATRICK MD 22376
COREY EUGENE PONDER MD 22884

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