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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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MINOR, DAVID BLAKE
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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: |
720 WEST 71ST ST S
TULSA OK 74132
Address last updated on 8/31/2022 |
| Phone #: |
(918) 760-0700 |
| Fax #: |
(918) 900-2654 |
| County: |
TULSA |
| License: |
14933 |
| Dated: |
9/6/1984 |
| Expires: |
9/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Dermatology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of TX Southwestern Med Sch At Dallas SW Med Sch, Dallas Tx 75235 |
| Graduated: |
6 /
1980 |
| CME Year: |
2027 |
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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 DERMATOLOGY |
| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
BlueChoice PPO
CommunityCare HMO, Inc
HealthChoice
Preferred Community Choice
United Healthcare Options PPO |
| Hospital Privileges: |
Ascension St. John Medical Center
Tulsa, OK
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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KATY TROTTER
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APRN |
123891 |
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