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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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BLUTH, BRIAN LEE       
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: 1315 N WASHINGTON ST
WEATHERFORD OK 73096-2443

Address last updated on 12/3/2024
Phone #: (580) 772-2344
Fax #: (580) 772-2330
County: CUSTER
License: 27013
Dated: 6/24/2009
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Ross Univ, Sch of Med, Roseau, Dominica
Graduated: 6 / 2006
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
Coventry Health Care National Network
First Health
HealthChoice
OSMA Health (formerly Plico PPO)
PPO Oklahoma
Preferred Community Choice
Railroad Medicare
SoonerCare PPO
Tricare for Life
United Healthcare Options PPO
Hospital Privileges: Mangum Regional Medical Center (fmly Mangum City Hospital)
Mangum, OK
Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK
Locations: Hours: Languages:
1315 N WASHINGTON ST
WEATHERFORD OK 73096-2443

Phone #: (580) 772-2344
Fax #: (580) 772-2330
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NICHOLE BLACKBURN APRN 11675
JENNIFER CURRAN BLAIR APRN 92705
KERI DENISE MCDANIEL PA 860
MURAT SEN PA 2529
PAISLEY TREVINO APRN 20019

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