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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 15, 2024 3:34 PM CDT
Next Update: Thursday, May 16, 2024 2:50 AM CDT

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KUNZE, BENJAMIN       
Practice Address: MEMORIAL MEDICAL GROUP UROLOGY
3201 W GORE BLVD STE 201
LAWTON OK 73505

Address last updated on 3/25/2024
Phone #: (580) 357-2261
Fax #:
County: COMANCHE
License: 4921
Dated: 11/1/2022
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:
MEMORIAL MEDICAL GROUP UROLOGY
3201 W GORE BLVD STE 201
LAWTON OK 73505

Phone #: (580) 357-2261
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
NATHANIEL HARRIS MD 35693
PATRICK WILLIAM MARTIN MD 26324
SCOTT LEWIS MICHENER MD 19658

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