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Oklahoma Board of Medical Licensure and Supervision

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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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PHILLIPS, BRETONYA JANEY       
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: 5501 N. PORTLAND AVE
OKLAHOMA CITY OK 73112

Address last updated on 3/30/2023
Phone #: (405) 604-6000
Fax #:
County: OKLAHOMA
License: 30415
Dated: 4/1/2014
Expires: 4/1/2024
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: American Univ of Antigua, Coll of Med, Woods, Antigua & Barbuda
Graduated: 12 / 2010
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 ANESTHESIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5501 N. PORTLAND AVE
OKLAHOMA CITY OK 73112

Phone #: (405) 604-6000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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