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Next Update: Thursday, December 19, 2024 2:50 AM CST
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PEASTER, MICHAEL LEON
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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.
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| Practice Address: |
3400 SE FRANK PHILLIPS BLVD
STE 603
BARTLESVILLE OK 74006
Address last updated on 10/15/2024 |
| Phone #: |
(918) 338-3800 |
| Fax #: |
(918) 336-1505 |
| County: |
WASHINGTON |
| License: |
23383 |
| Dated: |
6/16/2003 |
| Expires: |
6/1/2025 |
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Temp.
Lic.
Issued:
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6/13/2003 |
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Temp.
Lic.
Expires:
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7/18/2003 |
| License Type: |
Medical Doctor |
| Specialty: |
Urology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Med Coll Of Wi, Milwaukee Wi 53226 |
| Graduated: |
5 /
1986 |
| CME Year: |
2027 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF UROLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice
United Healthcare Options PPO
Welcor/Sooner |
| Hospital Privileges: |
Ascension St. John Jane Phillips Medical Center
Bartlesville, OK
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