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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 6:58 PM CDT
Next Update: Sunday, April 28, 2024 2:50 AM CDT

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HANSON, BLAKE ALEXANDER
Practice Address: 1919 S WHEELING AVE
STE 500
TULSA OK 74104

Address last updated on 2/19/2024
Phone #: (918) 403-6284
Fax #: (918) 403-6323
County: TULSA
License: 3101
Dated: 11/7/2019
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:
1919 S WHEELING AVE
STE 500
TULSA OK 74104

Phone #: (918) 403-6284
Fax #: (918) 403-6323

Hospital Privileges:

St. John Medical Center
Tulsa, OK
St. John's Hospital - Broken Arrow
Broken Arrow, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
Patrick Cody Buchanan DO 5950
Brad Mons DO 5413

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