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Next Update: Saturday, December 21, 2024 12:00 PM CST
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PETERSON, CARL RONALD
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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.
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| Practice Address: |
1801 E. 71ST
TULSA OK 74136
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| Phone #: |
(918) 481-7007 |
| Fax #: |
(918) 481-7010 |
| County: |
TULSA |
| License: |
14006 |
| Dated: |
9/30/1982 |
| Expires: |
9/1/2005 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132 |
| Graduated: |
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1960 |
| CME Year: |
2006 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
1801 E. 71ST
TULSA OK 74136
Phone #:
(918) 481-7007
Fax #:
(918) 481-7010 |
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM |
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