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Last Update: Saturday, May 18, 2024 4:08 AM CDT
Next Update: Saturday, May 18, 2024 12:00 PM CDT

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BLAKE, BRIAN EUGENE       
Practice Address: 191 N. HWY 10/59
PO BOX 166
KANSAS OK 74347

Address last updated on 5/4/2021
Phone #: (918) 868-5701
Fax #: (918) 868-5703
County: DELAWARE
License: 21213
Dated: 7/7/1999
Expires: 4/28/2023
License Type: Medical Doctor
Specialty: Internal Medicine
Bariatric Medicine
Emergency Medicine
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1998
CME Year: 2023
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
9/23/2010 Complaint Citation
#1/1/1900# Past Disciplinary Action
Board Filings and/or Orders:
05/19/2011
04/15/2011
09/23/2010
09/23/2010
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
191 N. HWY 10/59
PO BOX 166
KANSAS OK 74347

Phone #: (918) 868-5701
Fax #: (918) 868-5703

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