ANDERSON, BLAKE LEW - Licensee Information

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Last Update: Friday, May 10, 2024 4:09 PM CDT
Next Update: Saturday, May 11, 2024 2:50 AM CDT

ANDERSON, BLAKE LEW

Practice Address:	UTICA PARK CLINIC ENT SOUTH 9001 S 101ST EAST AVE SUITE 280 TULSA OK 74133-5711 Address last updated on 6/20/2023
Phone #:	(918) 459-8824
Fax #:	(918) 307-2239
County:	TULSA
License:	34046
Dated:	7/16/2018
Expires:	7/1/2024
License Type:	Medical Doctor
Specialty:	Otolaryngology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	YES
Medical School:	Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduated:	5 / 1998
CME Year:	2024

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 OTOLARYNGOLOGY
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	None listed
Hospital Privileges:	Cushing Regional Hospital Cushing, OK Hillcrest Medical Center Tulsa, OK Hillcrest Specialty Hospital Tulsa, OK

Locations:	Hours:	Languages:
UTICA PARK CLINIC ENT SOUTH 9001 S 101ST EAST AVE SUITE 280 TULSA OK 74133-5711 Phone #: (918) 459-8824 Fax #: (918) 307-2239	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
MONICA D BROUSSARD	PA	2365
VIRGINIA JULIAN CORCORAN	PA	2859