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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 19, 2024 8:43 AM CDT
Next Update: Friday, April 19, 2024 12:00 PM CDT

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BERG, PHILLIP EDWIN
Practice Address: OU MEDICAL CENTER
700 NE 13TH
OKLAHOMA CITY OK 73104-5004

Address last updated on 1/22/2016
Phone #: (405) 271-4152
Fax #:
County: OKLAHOMA
License: 602
Dated: 11/4/1997
Expires: 1/31/2017
Temp. Ltr. Issued: 6/13/1997
Temp. Ltr. Expires: 11/22/1997
License Type: Physical Therapist Assistant
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
CME Year: 2018
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:
OU MEDICAL CENTER
700 NE 13TH
OKLAHOMA CITY OK 73104-5004

Phone #: (405) 271-4152
Fax #:

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