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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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LE, UYEN PHUONG       
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: 7412 SOUTH YALE AVENUE
TULSA OK 74136

Address last updated on 6/22/2023
Phone #: (918) 523-5437
Fax #: (918) 523-5438
County: TULSA
License: 21740
Dated: 8/29/2000
Expires: 8/1/2025
Training Issued: 7/1/1999
Training Expires: 7/1/2001
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1999
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
7412 SOUTH YALE AVENUE
TULSA OK 74136

Phone #: (918) 523-5437
Fax #: (918) 523-5438
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:
Vietnamese
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CANDACE JOINER APRN 69697
MADELYN KENNEDY APRN 102960

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