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BRENNER, PHILLIP COLIN       
Practice Address: C/O PAUL DONAT MD
PO BOX 21102
OKLAHOMA CITY OK 73156
Phone #:
Fax #:
County: OKLAHOMA
License: 19116
Dated: 7/1/1994
Expires: 6/30/1995
Temp. Lic. Issued: 6/16/1994
Temp. Lic. Expires: 8/1/1994
License Type: Medical Doctor
Specialty: Urology
Other Specialty
Status: Inactive
Status Class: Special License
Restricted to: PRCT LMTD/UROL&CNCR SRGY-BAPT
Registered to Dispense: NO
Medical School: AUSTRALIA MEDICAL SCHOOLS
Graduated: 12 / 1982
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
C/O PAUL DONAT MD
PO BOX 21102
OKLAHOMA CITY OK 73156

Phone #:
Fax #:

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