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Last Update: Wednesday, December 25, 2024 1:14 PM CST
Next Update: Wednesday, December 25, 2024 4:30 PM CST

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PETSAS, KRISTINA SIU       
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: 1323 S YAKIMA AVE
TACOMA WA 98405

Address last updated on 7/2/2024
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 29825
Dated: 7/1/2015
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Windsor Univ, Basseterre, St Kitts & Nevis
Graduated: 12 / 2012
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1323 S YAKIMA AVE
TACOMA WA 98405

Phone #:
Fax #:
Mon:
Tue:
Wed:
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Sat:
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