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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 14, 2024 4:47 AM CDT
Next Update: Tuesday, May 14, 2024 12:00 PM CDT

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KRISA, PEGGY JULIA       
Practice Address: 1923 S UTICA
SIEGFRIED TOWER 4TH FLOOR
TULSA OK 74104

Address last updated on 6/2/2022
Phone #: (918) 748-7650
Fax #: (918) 403-6348
County: TULSA
License: 21703
Dated: 7/24/2000
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Diabetes
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: 5 / 1987
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:
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
1923 S UTICA
SIEGFRIED TOWER 4TH FLOOR
TULSA OK 74104

Phone #: (918) 748-7650
Fax #: (918) 403-6348
Mon: 7:30AM - 4:00PM
Tue: 7:30AM - 4:00PM
Wed: 7:30AM - 4:00PM
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ERIN MARIE CAPPS PA 2074

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