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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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BENNETT, TAMARA LEANNE       
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: 10901 E 48TH STREET
TULSA OK 74146

Address last updated on 2/8/2024
Phone #: (918) 749-8765
Fax #:
County: TULSA
License: 1994
Dated: 1/21/2011
Expires: 3/31/2025
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:
10901 E 48TH STREET
TULSA OK 74146

Phone #: (918) 749-8765
Fax #:

Hospital Privileges:

Ascension St. John Hospital - Broken Arrow
Broken Arrow, OK
Ascension St. John Medical Center
Tulsa, OK
OSU Medical Center (formerly Tulsa Regional Medical Center)
Tulsa, OK
St. Francis Hospital
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
SHAUN GREWAL MD 29661
DARCI RENEE HAZELWOOD DO 4193
JOSHUA Z. VICENA DO 5283

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