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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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BROUSSARD, TOBY DANIEL
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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: |
1800 S. RENAISSANCE BLVD STE 200
EDMOND OK 73013
Address last updated on 3/4/2024 |
| Phone #: |
(405) 359-2473 |
| Fax #: |
(405) 341-2495 |
| County: |
OKLAHOMA |
| License: |
24881 |
| Dated: |
4/5/2006 |
| Expires: |
4/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
General Surgery |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
LSU Sch Of Med in Shreveport, Shreveport La 71130 |
| 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 SURGERY |
| New Patients: |
Yes |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Summit Medical Center
Edmond, OK
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