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PETERSEN, JON FREDRICK
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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: |
BRANSON DIRECT CARE
111 BRIARCLIFF ROAD
BRANSON MO 65616
Address last updated on 11/27/2023 |
Phone #: |
(417) 593-0829 |
Fax #: |
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County: |
NOT OKLAHOMA |
License: |
29603 |
Dated: |
1/8/2013 |
Expires: |
1/1/2026 |
License Type: |
Medical Doctor |
Specialty: |
Occupational Medicine
Family Medicine |
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Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
J C Edwards Sch Med Marshall U, Huntington Wv 25755 |
Graduated: |
5 /
1996 |
CME Year: |
2028 |
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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
AMERICAN BOARD OF PREVENTIVE MEDICINE (Aerospace Medicine) - Occupational Medicine - General |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
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HMO/PPO: |
None listed |
Hospital Privileges: |
None listed |
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