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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 19, 2024 7:08 PM CDT
Next Update: Monday, May 20, 2024 2:50 AM CDT

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PFANSTIEL, CARL ERWIN JR       
Practice Address: 1220 N ELM PLACE
BROKEN ARROW OK 74102-1616

Address last updated on 9/17/2021
Phone #: (918) 258-1955
Fax #: (918) 251-9802
County: TULSA
License: 12938
Dated: 10/14/1980
Expires: 10/1/2024
License Type: Medical Doctor
Specialty: Pediatrics
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF LOUISVILLE SCH OF MED, LOUISVILLE KY 40202
Graduated: 6 / 1967
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 PEDIATRICS
New Patients: Yes
Medicaid: Yes
Medicare: No
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
CompMed
Coventry Health Care National Network
First Health
Great West Healthcare
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
Multiplan PPO
National Preferred Provider Network (NPPN)
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Private Healthcare Systems (PHCS)
SoonerCare HMO
SoonerCare PPO
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Welcor/Sooner
Hospital Privileges: None listed
Locations: Hours: Languages:
1220 N ELM PLACE
BROKEN ARROW OK 74102-1616

Phone #: (918) 258-1955
Fax #: (918) 251-9802
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 1:00PM
Sat:
Sun:

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