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Last Update: Friday, September 27, 2024 3:50 AM CDT
Next Update: Friday, September 27, 2024 12:00 PM CDT
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HOUSE, SAVANNAH VICTORIA
|
Practice Address: |
JACK C MONTGOMERY VAMC
1011 HONOR HEIGHTS DR
MUSKOGEE OK 74401
Address last updated on 2/16/2024 |
Phone #: |
(918) 577-3658 |
Fax #: |
|
County: |
MUSKOGEE |
License: |
4732 |
Dated: |
2/9/2022 |
Expires: |
3/31/2025 |
Temp.
Ltr.
Issued:
|
1/25/2022 |
Temp.
Ltr.
Expires:
|
3/10/2022 |
License Type: |
Physician Assistant |
Specialty: |
|
|
Status: |
Active |
Status Class: |
Fully Licensed |
Restricted to: |
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CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
None listed
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Primary Supervisor(s):
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Name: |
Type: |
License Number: |
Full/Part Time: |
STEPHEN DON BRUNS
|
MD |
20793 |
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