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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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TETER, CHARLES MARK       
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: 4720 SOUTH HARVARD AVENUE
SUITE 100
TULSA OK 74135-3023

Address last updated on 5/23/2024
Phone #: (918) 749-6730
Fax #: (918) 403-6318
County: TULSA
License: 13821
Dated: 7/1/1982
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
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 / 1981
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:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
CIGNA PPO
CommunityCare HMO, Inc
CommunityCare Senior HMO
CompMed
PacifiCare of Oklahoma, Inc
Preferred Community Choice
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
4720 SOUTH HARVARD AVENUE
SUITE 100
TULSA OK 74135-3023

Phone #: (918) 749-6730
Fax #: (918) 403-6318
Mon: 7:30AM - 4:30PM
Tue: 7:30AM - 4:30PM
Wed: 7:30AM - 4:30PM
Thu: 7:30AM - 4:30PM
Fri: 7:30AM - 4:30PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KAREN STURGILL APRN 5369
JENNIFER VANDERFORD APRN 96202

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