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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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PELTON, BROOKE ELLEN       
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: MERCY HEALTH CENTER
4300 W MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Address last updated on 3/27/2024
Phone #: (405) 752-3962
Fax #:
County: OKLAHOMA
License: 5182
Dated: 11/6/2023
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:
MERCY HEALTH CENTER
4300 W MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Phone #: (405) 752-3962
Fax #:

Hospital Privileges:

Mercy Hospital OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
CHAD LANDON GARMANY MD 26511
JEFFERY RANDALL PRUITT MD 23454

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