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CHRISTENSON-BRAVO, JOHN CHRISTOPHER       
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: UNIV OF UTAH MEDICAL CENTER
DEPARTMENT OF PEDIATRICS
50 N MEDICAL DR
SALT LAKE CITY UT 84132
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 14700
Dated: 6/21/1984
Expires: 6/30/1990
License Type: Medical Doctor
Specialty: Pediatrics
Infectious Disease
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF PR SCH OF MED, SAN JUAN PR 00936
Graduated: 6 / 1981
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.
Certifications: AMERICAN BOARD OF PEDIATRICS
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UNIV OF UTAH MEDICAL CENTER
DEPARTMENT OF PEDIATRICS
50 N MEDICAL DR
SALT LAKE CITY UT 84132

Phone #:
Fax #:

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