BERGQUIST, JOHN RANDOL - Licensee Information

Search Results

Last Update: Saturday, October 19, 2024 1:24 PM CDT
Next Update: Saturday, October 19, 2024 4:30 PM CDT

BERGQUIST, JOHN RANDOL

Practice Address:	UTICA PARK CLINIC 1145 S UTICA PARK AVE SUITE 701 TULSA OK 74104 Address last updated on 6/3/2024
Phone #:	(918) 582-6544
Fax #:
County:	TULSA
License:	38503
Dated:	8/27/2021
Expires:	8/1/2025
License Type:	Medical Doctor
Specialty:	General Surgery

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Md Sch Of Med, Baltimore Md 21201
Graduated:	5 / 2012
CME Year:	2027

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
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	Hillcrest Medical Center Tulsa, OK

Locations:	Hours:	Languages:
UTICA PARK CLINIC 1145 S UTICA PARK AVE SUITE 701 TULSA OK 74104 Phone #: (918) 582-6544 Fax #:	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:

Name:	Type:	License Number:
Primary Supervisees(s):
SAMANTHA KUPLICKI	APRN	101047
SUSANNA MCDANIEL	APRN	82443
MARY KATHERINE NELSON	PA	2957
JENNA ALEXIS SPECHT	PA	3223
SUMA THOMAS	APRN	84249
ANDREA WALL	APRN	86862