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BRUNK, SAMUEL FREDERICK       
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: CANCER TREATMENT CENTERS OF AMERICA
WESTERN REGIONAL MEDICAL CENTER
14200 W. FILLMORE STREET
GOODYEAR AZ 85338

Address last updated on 9/6/2010
Phone #: (623) 207-3000
Fax #:
County: NOT OKLAHOMA
License: 19404
Dated: 11/7/1995
Expires: 11/1/2011
License Type: Medical Doctor
Specialty: Medical Oncology
Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: UNIV OF VA SCH OF MED HLTH SYS, CHARLOTTESVILLE VA 22908
Graduated: 6 / 1959
CME Year: 2012
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 - Medical Oncology
New Patients: Yes
Medicaid: Contact licensee
Medicare: Yes
   
HMO/PPO: BlueChoice PPO
HealthChoice
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Southwestern Regional Medical Center
Tulsa, OK
Locations: Hours: Languages:
CANCER TREATMENT CENTERS OF AMERICA
WESTERN REGIONAL MEDICAL CENTER
14200 W. FILLMORE STREET
GOODYEAR AZ 85338

Phone #: (623) 207-3000
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:

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