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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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BULLARD, BRANCH RICKEY
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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: |
4535 WEST MEMORIAL ROAD
SUITE 200
OKLAHOMA CITY OK 73134
Address last updated on 7/2/2024 |
| Phone #: |
(405) 752-3373 |
| Fax #: |
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| County: |
OKLAHOMA |
| License: |
27386 |
| Dated: |
9/3/2009 |
| Expires: |
9/1/2025 |
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Temp.
Lic.
Issued:
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8/14/2009 |
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Temp.
Lic.
Expires:
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9/18/2009 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Sc Sch Of Med, Columbia Sc 29208 |
| Graduated: |
5 /
1994 |
| 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 FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
INTEGRIS Health Ponca City Hospital -(frmly Via Christi)
Ponca City, OK
Mercy Hospital El Reno (fmly Park View Hospital)
El Reno, OK
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Norman Regional Hospital
Norman, OK
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