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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 6:42 PM CST
Next Update: Saturday, November 23, 2024 2:50 AM CST

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CORBETT, AUDREY JAN       
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: OU PHYSICIANS - INTERNAL MEDICINE
4502 EAST 41ST STREET
TULSA OK 74135-2512

Address last updated on 1/5/2024
Phone #: (918) 660-3467
Fax #: (918) 660-3444
County: TULSA
License: 32758
Dated: 3/28/2017
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Internal Medicine
Hospitalist
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 8 / 2012
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 INTERNAL MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John - Owasso
Owasso, OK
Ascension St. John - Sapulpa
Sapulpa, OK
Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Medical Center
Tulsa, OK
St John Rehabilitation Hospital affiliated with HealthSouth
Tulsa, OK
Locations: Hours: Languages:
OU PHYSICIANS - INTERNAL MEDICINE
4502 EAST 41ST STREET
TULSA OK 74135-2512

Phone #: (918) 660-3467
Fax #: (918) 660-3444
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
AMY MARIE CAMPBELL PA 2013
NANDINI ASNANI DHAMEJA PA 2919
CINDY LEE DUNLAP PA 2075
KAYLYNN COATS ELMORE PA 1953
MINI GEORGE PA 1334
LAURA KATHRYN HOLMAN PA 2726
LARRY MARTIN HYTCHE PA 1975
KELSEY NICOLE KLEIN PA 2391
JENNIFER RENEE MEANS PA 2084
DAVID JOSEPH OLSON PA 2248
ANITA RAQUEL RAMIREZ PA 3165
LEONARDO RAUCH PA 1733
SHAYNIEL STEARS PA 2708
RICHELLE CHRISTINE VOTH PA 2427

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