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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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IVANOFF, JOHN GEORGE       
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: WARREN CLINIC
10505 EAST 91ST STREET #208
TULSA OK 74133

Address last updated on 6/20/2023
Phone #: (918) 494-8500
Fax #:
County: TULSA
License: 19125
Dated: 7/1/1994
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Cardiovascular Disease
Internal Medicine
Interventional Cardiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: MED COLL OF PA, PHILADELPHIA PA 19129
Graduated: 5 / 1984
CME Year: 2027
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 - Cardiovascular Disease
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK
Locations: Hours: Languages:
WARREN CLINIC
10505 EAST 91ST STREET #208
TULSA OK 74133

Phone #: (918) 494-8500
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KACI JACKSON APRN 66985
JOSEPH EDWARD PRUITT PA 1274

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