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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, April 28, 2024 1:44 PM CDT
Next Update: Sunday, April 28, 2024 4:30 PM CDT

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DEWINDT, DOUGLAS WAYNE
Practice Address: SOUTHWEST ORTHOPAEDIC & RECONSTRUCTIVE SPECIALISTS
1805 COMMONS CIRCLE STE. 100-C
YUKON OK 73099

Address last updated on 4/26/2024
Phone #: (405) 265-0165
Fax #: (405) 265-0897
County: CANADIAN
License: 4827
Dated: 7/25/2022
Expires: 3/31/2025
Temp. Ltr. Issued: 6/3/2022
Temp. Ltr. Expires: 7/28/2022
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:
SOUTHWEST ORTHOPAEDIC & RECONSTRUCTIVE SPECIALISTS
1805 COMMONS CIRCLE STE. 100-C
YUKON OK 73099

Phone #: (405) 265-0165
Fax #: (405) 265-0897

Hospital Privileges:

INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
INTEGRIS Southwest Medical Center
Oklahoma City, OK
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KRISTOPHER RYAN AVANT DO 4499
BRADLEY REDDICK DO 4326

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