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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 10:33 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT

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RUSSENBERGER, NICHOLAS TYLER
Practice Address: HARPER COUNTY COMMUNITY HOSPITAL
1003 HIGHWAY 64 NORTH
BUFFALO OK 73834

Address last updated on 3/19/2024
Phone #: (580) 735-2555
Fax #:
County: HARPER
License: 5175
Dated: 11/6/2023
Expires: 3/31/2025
Temp. Ltr. Issued: 10/10/2023
Temp. Ltr. Expires: 11/16/2023
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:
HARPER COUNTY COMMUNITY HOSPITAL
1003 HIGHWAY 64 NORTH
BUFFALO OK 73834

Phone #: (580) 735-2555
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
AARON S. SIZELOVE DO 4958

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