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Last Update: Saturday, December 21, 2024 6:44 PM CST
Next Update: Sunday, December 22, 2024 2:50 AM CST

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ROSENHAMER, J. DUSTIN       
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: UTICA PARK CLINIC
1245 S UTICA
SUITE 300
TULSA OK 74104

Address last updated on 6/27/2024
Phone #: (918) 560-3823
Fax #: (918) 579-5782
County: TULSA
License: 28605
Dated: 7/1/2011
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Neurology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: St George's Univ, Sch Of Med, St George's, Grenada
Graduated: 5 / 2007
CME Year: 2026
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 PSYCHIATRY AND NEUROLOGY (Neurology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
UTICA PARK CLINIC
1245 S UTICA
SUITE 300
TULSA OK 74104

Phone #: (918) 560-3823
Fax #: (918) 579-5782
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KELLI LEEK APRN 73415

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