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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 12:00 PM CST

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BRUNO, JOANNA MOORE       
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: 105 S. BRYANT RD
SUITE 210
EDMOND OK 73034-6330

Address last updated on 5/4/2007
Phone #: (405) 340-0551
Fax #: (405) 340-6453
County: OKLAHOMA
License: 23537
Dated: 7/1/2004
Expires: 7/1/2008
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ of Toledo Coll of Med, Toledo OH 43699
Graduated: 6 / 2002
CME Year: 2010
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
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
CommunityCare HMO, Inc
First Health
Health Smart Preferred Care (HSPC)
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Physicians Direct Network
PPO USA
Preferred Community Choice
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: OU Health - Edmond (frmrly Edmond Medical Center)
Edmond, OK
Locations: Hours: Languages:
105 S. BRYANT RD
SUITE 210
EDMOND OK 73034-6330

Phone #: (405) 340-0551
Fax #: (405) 340-6453
Mon: 8:15AM - 4:30PM
Tue: 8:15AM - 4:30PM
Wed: 8:15AM - 4:30PM
Thu: 8:15AM - 4:30PM
Fri: 8:15AM - 4:30PM
Sat:
Sun:

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