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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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BERCH, BARRY ROBERT       
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: WARREN CLINIC PEDIATRIC SURGERY
6151 S YALE ST.
TULSA OK 74136

Address last updated on 2/23/2024
Phone #: (918) 494-9450
Fax #: (918) 494-9437
County: TULSA
License: 32773
Dated: 2/24/2017
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Pediatric Surgery (Surgery)
General Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ms Sch Of Med, Jackson Ms 39216
Graduated: 5 / 2001
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 SURGERY
AMERICAN BOARD OF SURGERY - Pediatric Surgery
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WARREN CLINIC PEDIATRIC SURGERY
6151 S YALE ST.
TULSA OK 74136

Phone #: (918) 494-9450
Fax #: (918) 494-9437
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHANNON MICHELLE JACOBY PA 1998
JULIE MARIE REDINGTON PA 1399
PATRICIANN MICHAEL TATE PA 1744
ANGELA MARIE WROBLESKI PA 1400

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