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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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JOHNSON, GLENNA WONG       
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: SOUND PHYSICIANS
1705 E 19TH ST
TULSA OK 74104

Address last updated on 5/2/2024
Phone #: (918) 744-3856
Fax #:
County: TULSA
License: 34716
Dated: 7/1/2020
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: General Practice
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: PA STATE UNIV COLL OF MED, HERSHEY PA 17033
Graduated: 5 / 2019
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
SOUND PHYSICIANS
1705 E 19TH ST
TULSA OK 74104

Phone #: (918) 744-3856
Fax #:
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5635 M.L.K. Jr Blvd
Tulsa, OK 74126

Phone #: (918) 398-9460
Fax #: (9) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
HOLLY BENNETT APRN 116005

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