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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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GOTTEHRER, ANDREW       
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: UTICA PARK SOUTH SPECIALTY CLINIC
8803 S 101ST E AVENUE SUITE 385
TULSA OK 7413-5779

Address last updated on 1/28/2024
Phone #: (918) 579-3270
Fax #: (918) 579-3279
County: TULSA
License: 17603
Dated: 3/16/1991
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Pulmonary Disease
Critical Care Medicine (Internal Medicine)
Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: D Geffen Sch of Med-UCLA, Los Angeles CA 90095
Graduated: 5 / 1985
CME Year: 2025
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hillcrest Medical Center
Tulsa, OK
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
UTICA PARK SOUTH SPECIALTY CLINIC
8803 S 101ST E AVENUE SUITE 385
TULSA OK 7413-5779

Phone #: (918) 579-3270
Fax #: (918) 579-3279
Mon: 8:00AM - 4:30PM
Tue: 8:00AM - 4:30PM
Wed: 8:00AM - 4:30PM
Thu: 8:00AM - 4:30PM
Fri: 8:00AM - 4:30PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KELLI ANDERSON APRN 1707

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