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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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FIRESTONE, BRANDON MAXWELL       
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: KAISER PERMANENTE PANORAMA CITY MEDICAL CENTER
13651 WILLARD ST
PANORAMA CA 91402

Address last updated on 5/21/2024
Phone #: (818) 482-6317
Fax #:
County: NOT OKLAHOMA
License: 39896
Dated: 7/19/2023
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Med Univ Of SC Coll Of Med, Charleston Sc 29425
Graduated: 5 / 2013
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 EMERGENCY MEDICINE - Emergency Medical Services
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
KAISER PERMANENTE PANORAMA CITY MEDICAL CENTER
13651 WILLARD ST
PANORAMA CA 91402

Phone #: (818) 482-6317
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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