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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 1:13 PM CST
Next Update: Monday, December 23, 2024 4:30 PM CST

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NELSON, PETER RICHARD       
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: 1919 S WHEELING AVENUE
STE 600
TULSA OK 74104

Address last updated on 10/24/2024
Phone #: (918) 634-7500
Fax #: (918) 634-7560
County: TULSA
License: 33362
Dated: 11/7/2017
Expires: 12/1/2025
Temp. Lic. Issued: 11/7/2017
Temp. Lic. Expires: 1/12/2018
License Type: Medical Doctor
Specialty: Vascular Surgery
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of MA Med Sch, Worcester Ma 01655
Graduated: 6 / 1992
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 - Vascular Surgery - General
AMERICAN BOARD OF SURGERY (Vascular Surgery specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Jack C. Montgomery VA Medical Center
Muskogee, OK
St. Francis Hospital
Tulsa, OK
Locations: Hours: Languages:
1919 S WHEELING AVENUE
STE 600
TULSA OK 74104

Phone #: (918) 634-7500
Fax #: (918) 634-7560
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JACQUELINE FLORES APRN 89100
JESSICA STADLER APRN 1643
EMILY NOEL WEBER PA 4534

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