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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

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BROSS, MATTHEW CADE
Practice Address: 4050 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Address last updated on 2/26/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 4979
Dated: 2/23/2023
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:
4050 W MEMORIAL RD
OKLAHOMA CITY OK 73120

Phone #:
Fax #:

Hospital Privileges:

Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHARLES CARVAJAL TE MD 25661
SUBHA LAKSHMI VARAHAN MD 28419

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