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Oklahoma Board of Medical Licensure and Supervision

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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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BROTHERTON, LAWRENCE CLAY III       
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: AMG GENERAL SURGERY - TULSA
1725 E 19TH ST
SUITE 800
TULSA OK 74104

Address last updated on 3/4/2024
Phone #: (918) 301-2505
Fax #: (918) 744-3633
County: TULSA
License: 24398
Dated: 5/2/2005
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: General Surgery
Abdominal Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1999
CME Year: 2026
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA HMO
CIGNA PPO
First Health
HealthChoice
Humana Tricare/PGBA
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
Private Healthcare Systems (PHCS)
Railroad Medicare
SoonerCare HMO
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Ascension St. John - Owasso
Owasso, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
AMG GENERAL SURGERY - TULSA
1725 E 19TH ST
SUITE 800
TULSA OK 74104

Phone #: (918) 301-2505
Fax #: (918) 744-3633
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
12455 E. 100th Street N
Suite 150
Owasso, OK 74055

Phone #: (918) 212-2200
Fax #: (11) 201-
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 5:00PM
Sat:
Sun:

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