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BUSHA, DOUGLAS MARTIN       
Practice Address: CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Address last updated on 2/7/2013
Phone #: (800) 851-9136
Fax #:
County: PONTOTOC
License: 967
Dated: 5/27/1999
Expires: 3/31/2014
Temp. Ltr. Issued: 3/25/1999
Temp. Ltr. Expires: 7/24/1999
License Type: Physician Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year:
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:
CHICKASAW NATION MEDICAL CENTER
1921 STONECIPHER BLVD
ADA OK 74820

Phone #: (800) 851-9136
Fax #:

Hospital Privileges:

None listed

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