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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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WALTERS, RUSTIN CHANC       
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: UROLOGIC SPECIALISTS OF OKLAHOMA INC.
10901 E. 48TH STREET
TULSA OK 74146

Address last updated on 6/10/2024
Phone #: (918) 749-8765
Fax #: (918) 392-2155
County: TULSA
License: 38512
Dated: 8/12/2021
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Urology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104
Graduated: 5 / 2001
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 UROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Medical Center
Tulsa, OK
Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
St. Francis Hospital - Muskogee (frmly Muskogee Reg. Med. Ctr./Eastar)
Muskogee, OK
St. Francis Hospital - SOUTH
Tulsa, OK
Locations: Hours: Languages:
UROLOGIC SPECIALISTS OF OKLAHOMA INC.
10901 E. 48TH STREET
TULSA OK 74146

Phone #: (918) 749-8765
Fax #: (918) 392-2155
Mon: 7:30AM - 5:00PM
Tue: 7:30AM - 5:00PM
Wed: 7:30AM - 5:00PM
Thu: 7:30AM - 5:00PM
Fri: 7:30AM - 1:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
LANDEN WAYNE SALING PA 5433

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