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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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SEELEY-HACKER, BRETT LOGAN       
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: ASCENSION ST. JOHN
ASCENSION MEDICAL GROUP ST. JOHN
7501 RIVERSIDE PKWY.
TULSA OK 74136

Address last updated on 7/16/2024
Phone #: (918) 710-4234
Fax #:
County: TULSA
License: 41466
Dated: 7/5/2024
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduated: 5 / 2023
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ASCENSION ST. JOHN
ASCENSION MEDICAL GROUP ST. JOHN
7501 RIVERSIDE PKWY.
TULSA OK 74136

Phone #: (918) 710-4234
Fax #:

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