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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT
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BROUSSARD, CRYSTAL RAY
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| Practice Address: |
30 MARYLAND PLZ
FLOOR 3
SAINT LOUIS MO 63108
Address last updated on 10/25/2023 |
| Phone #: |
(314) 720-5858 |
| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
35223 |
| Dated: |
11/26/2019 |
| Expires: |
11/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ of TX Med Sch at Houston, Houston Tx 77225 |
| Graduated: |
6 /
2002 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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