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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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BRUNN, STANLEY FRED       
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: 140 HAMMOND ST
PORT JERVIS NY 12771-1924

Address last updated on 4/14/2010
Phone #: (845) 858-2854
Fax #: (845) 858-2857
County: NOT OKLAHOMA
License: 8507
Dated: 6/16/1965
Expires: 4/24/2010
License Type: Medical Doctor
Specialty: Obstetrics & Gynecology
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1965
CME Year: 2013
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 OBSTETRICS AND GYNECOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
HealthChoice
Preferred Community Choice
Prudential Health Care Plan, Inc
United Healthcare HMO
Hospital Privileges: None listed
Locations: Hours: Languages:
140 HAMMOND ST
PORT JERVIS NY 12771-1924

Phone #: (845) 858-2854
Fax #: (845) 858-2857
Farsi

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