STEWART, CHARLES EDWARD - Licensee Information

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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

STEWART, CHARLES EDWARD

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:	1004 E. BRYAN AVE SAPULPA OK 74066 Address last updated on 4/8/2024
Phone #:	(918) 227-8630
Fax #:
County:	TULSA
License:	25517
Dated:	5/1/2007
Expires:	5/1/2025
Temp. Lic. Issued:	3/1/2007
Temp. Lic. Expires:	5/19/2007
License Type:	Medical Doctor
Specialty:	Emergency Medicine Unspecified

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduated:	5 / 1973
CME Year:	2025

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 EMERGENCY MEDICINE
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	Ascension St. John - Sapulpa Sapulpa, OK Ascension St. John Jane Phillips Medical Center Bartlesville, OK Ascension St. John Medical Center Tulsa, OK

Locations:	Hours:	Languages:
1004 E. BRYAN AVE SAPULPA OK 74066 Phone #: (918) 227-8630 Fax #:	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
MAX BRIAN SWENSON JR	PA	15

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