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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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PETTIGROVE, BRUCE BENNETT II       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 2448 E 81ST ST. #3700
TULSA OK 74137

Address last updated on 5/3/2024
Phone #: (918) 492-4122
Fax #: (918) 492-7451
County: TULSA
License: 13121
Dated: 7/1/1981
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1980
CME Year: 2027
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.
Certifications: AMERICAN BOARD OF OPHTHALMOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
2448 E 81ST ST. #3700
TULSA OK 74137

Phone #: (918) 492-4122
Fax #: (918) 492-7451
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 4:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 4:00PM
Sat:
Sun:

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