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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 20, 2024 4:03 AM CDT
Next Update: Saturday, April 20, 2024 12:00 PM CDT

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TANNER, ANITA LOUISE
Practice Address: 937 SW 89TH ST. SUITE A
OKLAHOMA CITY OK 73139

Address last updated on 2/11/2024
Phone #: (405) 702-4777
Fax #: (405) 702-4770
County: OKLAHOMA
License: 693
Dated: 12/22/1994
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:
937 SW 89TH ST. SUITE A
OKLAHOMA CITY OK 73139

Phone #: (405) 702-4777
Fax #: (405) 702-4770

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
JANET LOIS FANNING MD 17606

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