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Last Update: Friday, May 3, 2024 4:08 AM CDT
Next Update: Friday, May 3, 2024 12:00 PM CDT
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|
BOURLAND, JOE BYNUM |
| Practice Address: |
ORTHO CENTRAL
3400 W TECUMSEH RD SUITE 101
NORMAN OK 73072
Address last updated on 3/27/2024 |
| Phone #: |
(405) 360-6764 |
| Fax #: |
(405) 360-6769 |
| County: |
CLEVELAND |
| License: |
899 |
| Dated: |
6/19/1998 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
5/15/1998 |
|
Temp.
Ltr.
Expires:
|
7/25/1998 |
| 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.
|
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Hospital Privileges:
None listed
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
THEODORE ALAN BOEHM
|
MD |
23491 |
|
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