PICCIONE, JOSEPH JOHN - Licensee Information

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

PICCIONE, JOSEPH JOHN

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:	CONCENTRA MEDICAL CENTERS 9515 EAST 51ST ST. SUITE G TULSA OK 74145 Address last updated on 2/2/2024
Phone #:	(918) 622-7488
Fax #:	(918) 622-7071
County:	TULSA
License:	1126
Dated:	6/12/2001
Expires:	3/31/2025
Temp. Ltr. Issued:	9/15/2011
Temp. Ltr. Expires:	11/4/2011
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Fully Licensed
Restricted to:
CME Year:	2025

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.

Locations:	Hours:	Languages:
CONCENTRA MEDICAL CENTERS 9515 EAST 51ST ST. SUITE G TULSA OK 74145 Phone #: (918) 622-7488 Fax #: (918) 622-7071

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
GREGORY BROOKS	DO	2578
NANCY VANDERMOLEN	DO	3740

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