MYCHAK, NATHAN ZACHARY - Licensee Information

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Last Update: Saturday, May 18, 2024 7:03 PM CDT
Next Update: Sunday, May 19, 2024 2:50 AM CDT

MYCHAK, NATHAN ZACHARY

Practice Address:	CONCENTRA 6101 W RENO AVE. STE 800 EDMOND OK 73127 Address last updated on 4/9/2022
Phone #:	(405) 495-3085
Fax #:
County:	OKLAHOMA
License:	2552
Dated:	10/22/2015
Expires:	3/31/2019
License Type:	Physician Assistant
Specialty:

Status:	Inactive
Status Class:	Expired License
Restricted to:
CME Year:	2019

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:
CONCENTRA 6101 W RENO AVE. STE 800 EDMOND OK 73127 Phone #: (405) 495-3085 Fax #:

Hospital Privileges:

None listed

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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