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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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BENNETT, BRETT JONATHAN       
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: HILLCREST MEDICAL CENTER
1120 SOUTH UTICA AVE
TULSA OK 74104

Address last updated on 3/26/2024
Phone #: (918) 579-1000
Fax #:
County: TULSA
License: 999
Dated: 3/8/2000
Expires: 3/31/2025
Temp. Ltr. Issued: 1/20/2000
Temp. Ltr. Expires: 3/11/2000
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:
HILLCREST MEDICAL CENTER
1120 SOUTH UTICA AVE
TULSA OK 74104

Phone #: (918) 579-1000
Fax #:

Hospital Privileges:

Hillcrest Medical Center
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
VERONICA AVILA MD 27310
DEBORAH JAN BEESON MD 13091
BETTE BISCHOFF GLIDEWELL MD 28027
PAVANKUMAR BOMMASAMUDRAM MD 27309
PAVAN BRAR MD 27791
MADISON COLLINS DO 5035
Catherine Gail Cudnoski DO 4894
Aaron Ross Isley DO 5572
Cyriece Jones DO 6988
James Le DO 6694
Jaron Marriott DO 6333
DEREK M MATHESON DO 4359
STEPHEN MIKUS DO 5045
Judd Miller DO 6708
NIGEL N NAMAN MD 32500
JAMES VERNON ROOKS MD 19828
MONICA SAENZ DO 5160
SURAJ SUKU MD 24622
JUSTIN PLAMTHUNDIL THANKACHAN MD 24623
IMAD UDDIN MD 26498
ANNA WANAHITA MD 25436
NANCY WILLIAMS MD 22490

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