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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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MILLER, PETERYNE DUAH
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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: |
4870 S LEWIS
#205
TULSA OK 74105-0000
Address last updated on 9/23/2024 |
| Phone #: |
(918) 863-2910 |
| Fax #: |
(918) 863-2933 |
| County: |
TULSA |
| License: |
23611 |
| Dated: |
11/1/2003 |
| Expires: |
11/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Psychiatry |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
UNIV OF LIBERIA, A.M. DOGLIOTTI COLL OF MED, MONROVIA, LIBERIA |
| Graduated: |
5 /
1989 |
| 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 PSYCHIATRY AND NEUROLOGY (Psychiatry specific) |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
Champ VA
HealthChoice
Medicare Blue
SoonerCare HMO
United Healthcare Choice
United Healthcare HMO |
| Hospital Privileges: |
Parkside Comm. Psychiatric Services & Hospital
Tulsa, OK
Wagoner Community Hospital
Wagoner, OK
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| Locations: |
Hours: |
Languages: |
4870 S LEWIS
#205
TULSA OK 74105-0000
Phone #:
(918) 863-2910
Fax #:
(918) 863-2933 |
Mon: 8:30AM - 4:00PM
Tue: 8:30AM - 4:00PM
Wed: 8:30AM - 4:00PM
Thu: 8:30AM - 4:00PM
Fri: 8:30AM - 1:00PM
Sat:
Sun: |
Spanish |
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Primary Supervisees(s):
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| Name: |
Type: |
License Number: |
Full/Part Time: |
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JANET TROGDON
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APRN |
77215 |
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