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Last Update: Sunday, May 19, 2024 4:08 AM CDT
Next Update: Sunday, May 19, 2024 12:00 PM CDT

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LINVILLE, TARA RODERICK       
Practice Address: UTICA PARK CLINIC DERMATOLOGY
9245 S MINGO RD
TULSA OK 74133

Address last updated on 3/13/2024
Phone #: (918) 492-8980
Fax #:
County: TULSA
License: 1108
Dated: 4/1/2001
Expires: 3/31/2025
Temp. Ltr. Issued: 1/4/2001
Temp. Ltr. Expires: 3/31/2001
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:
UTICA PARK CLINIC DERMATOLOGY
9245 S MINGO RD
TULSA OK 74133

Phone #: (918) 492-8980
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
LISA MASK BULL MD 30038
HANNAH ELIZABETH HOWARD MD 31452
BERNARD N. ROBINOWITZ MD 10381

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