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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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BERRY, CHARLES MILES       
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: 11063 D SOUTH MEMORIAL DRIVE #402
TULSA OK 74133-7366

Address last updated on 3/3/2018
Phone #: (918) 629-2685
Fax #:
County: TULSA
License: 14647
Dated: 5/21/1984
Expires: 1/30/2021
License Type: Medical Doctor
Specialty: SURGERY, CARDIOVASCULAR
SURGERY, THORACIC
Vascular Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1977
CME Year: 2022
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 THORACIC SURGERY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
11063 D SOUTH MEMORIAL DRIVE #402
TULSA OK 74133-7366

Phone #: (918) 629-2685
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun: IPHONE 9186292685

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