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ELLERIN, BRUCE ELKIN       
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: SAINT LOUIS V.A. MEDICAL CENTER
JOHN COCHRAN DIVISION
915 N. GRAND BOULEVARD
SAINT LOUIS MO 63106-1621

Address last updated on 6/2/2009
Phone #: (314) 652-4100
Fax #: (314) 289-6322
County: NOT OKLAHOMA
License: 26677
Dated: 11/3/2008
Expires: 11/1/2010
License Type: Medical Doctor
Specialty: Radiation Oncology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of NC Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduated: 5 / 1995
CME Year: 2011
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SAINT LOUIS V.A. MEDICAL CENTER
JOHN COCHRAN DIVISION
915 N. GRAND BOULEVARD
SAINT LOUIS MO 63106-1621

Phone #: (314) 652-4100
Fax #: (314) 289-6322
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat:
Sun:

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