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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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JONES, GRENVILLE HENRY       
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: OCSRI
12697 51ST ST SOUTH
TULSA OK 74146

Address last updated on 8/21/2024
Phone #: (918) 505-3200
Fax #: (918) 505-3225
County: TULSA
License: 33310
Dated: 9/8/2017
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Radiation Oncology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Rutgers New Jersey Med Sch, Newark NJ 07103 (frmly UMDNJ)
Graduated: 5 / 1994
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 RADIOLOGY (Radiation Oncology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
OCSRI
12697 51ST ST SOUTH
TULSA OK 74146

Phone #: (918) 505-3200
Fax #: (918) 505-3225
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
CYNTHIA WISE APRN 101985

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