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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

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DERREVERE, BRETT WILLIAM
Practice Address: VA MEDICAL CENTER
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Address last updated on 1/25/2024
Phone #: (405) 456-1000
Fax #:
County: OKLAHOMA
License: 32738
Dated: 2/24/2017
Expires: 2/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 2009
CME Year: 2026
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.
Certifications: AMERICAN BOARD OF EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: V.A. Medical Center-OKC
Oklahoma City, OK
Locations: Hours: Languages:
VA MEDICAL CENTER
921 NE 13TH ST
OKLAHOMA CITY OK 73104

Phone #: (405) 456-1000
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
TAYLOR BROOKE HERZER PA 2937
KALLIE BLYTHE HUMPHREYS PA 2188

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