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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT

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BROUSSARD, TOBY DANIEL       
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
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: LSU Sch Of Med in Shreveport, Shreveport La 71130
Graduated: 5 / 1989
CME Year: 2027
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: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Mercy Hospital OKC
Oklahoma City, OK
Summit Medical Center
Edmond, OK
Locations: Hours: Languages:
1800 S. RENAISSANCE BLVD STE 200
EDMOND OK 73013

Phone #: (405) 359-2473
Fax #: (405) 341-2495
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MELISA WEAVER APRN 71855
JENNIFER WU APRN 109849

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