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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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BROUSSARD, MONICA D       
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: UTICA PARK CLINIC - ORTHOPEDIC SPINE SURGERY
8803 S 101ST EAST AVE
SUITE 300
TULSA OK 74133

Address last updated on 10/23/2024
Phone #: (918) 574-0220
Fax #:
County: TULSA
License: 2365
Dated: 2/4/2014
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:
UTICA PARK CLINIC - ORTHOPEDIC SPINE SURGERY
8803 S 101ST EAST AVE
SUITE 300
TULSA OK 74133

Phone #: (918) 574-0220
Fax #:

Hospital Privileges:

Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Oklahoma Surgical Hospital (formerly Orthopedic Hospital of Oklahoma)
Tulsa, OK
St. Francis Hospital
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK
Tulsa Spine & Specialty Hospital
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BLAKE LEW ANDERSON MD 34046
SCOTT KERWIN HUDSON MD 30492
ZEESHAAN IQBAL KHAN MD 27364
Jean-Maria C. Langley DO 4658

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