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Oklahoma Board of Medical Licensure and Supervision

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PETRO, MICHAEL CURTIS       
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: 72ND MDG / SGOS
5100 ARNOLD ST
TINKER AFB OK 73145

Address last updated on 8/17/2004
Phone #: (405) 736-2814
Fax #: (405) 736-2716
County: OKLAHOMA
License: 23945
Dated: 7/1/2004
Expires: 7/1/2006
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: IN Univ Sch Of Med, Indianapolis In 46202
Graduated: 5 / 1998
CME Year: 2007
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 SURGERY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Duncan Regional Hospital
Duncan, OK
Medical Center of Southeastern OK
Durant, OK
SSM St Anthony Midwest Regional Medical Center
Midwest City, OK
Locations: Hours: Languages:
72ND MDG / SGOS
5100 ARNOLD ST
TINKER AFB OK 73145

Phone #: (405) 736-2814
Fax #: (405) 736-2716

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