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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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MCINTOSH, BRAD ANTHONY       
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: MUSKOGEE FAMILY MEDICINE LLC
3330 W OKMULGEE AVE
MUSKOGEE OK 74401-5069

Address last updated on 6/10/2024
Phone #: (918) 682-4318
Fax #: (918) 682-0615
County: MUSKOGEE
License: 21254
Dated: 7/7/1999
Expires: 7/1/2025
Training Issued: 7/2/1998
Training Expires: 8/1/1999
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1998
CME Year: 2026
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. Francis Hospital - Muskogee (frmly Muskogee Reg. Med. Ctr./Eastar)
Muskogee, OK
Wagoner Community Hospital
Wagoner, OK
Locations: Hours: Languages:
MUSKOGEE FAMILY MEDICINE LLC
3330 W OKMULGEE AVE
MUSKOGEE OK 74401-5069

Phone #: (918) 682-4318
Fax #: (918) 682-0615
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ANNETTE JAMES APRN 15172
JUSTIN ROBERTS APRN 84805

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