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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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MITCHELL, GRACE KINCHELOE
Practice Address: NEUROSURGERY SPECIALISTS
6767 SOUTH YALE AVE
TULSA OK 74136

Address last updated on 2/19/2024
Phone #: (918) 492-7587
Fax #:
County: TULSA
License: 5169
Dated: 12/28/2023
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:
NEUROSURGERY SPECIALISTS
6767 SOUTH YALE AVE
TULSA OK 74136

Phone #: (918) 492-7587
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DANIEL JAMES BOEDEKER MD 24729
RYAN FOUAD RAHHAL MD 24080
CHRISTOPHER DAVID WILSON MD 40174
SHIHAO ZHANG MD 32053

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