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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, May 14, 2024 4:03 AM CDT
Next Update: Tuesday, May 14, 2024 12:00 PM CDT

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POTTHOFF, BRYAN MICHAEL       
Practice Address: OU PHYSICIANS AT FOUNTAIN LAKE
14101 N. EASTERN AVE
EDMOND OK 73013

Address last updated on 6/30/2023
Phone #: (405) 271-5541
Fax #: (405) 340-1607
County: OKLAHOMA
License: 27179
Dated: 7/1/2011
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2009
CME Year: 2026
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 FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
OU PHYSICIANS AT FOUNTAIN LAKE
14101 N. EASTERN AVE
EDMOND OK 73013

Phone #: (405) 271-5541
Fax #: (405) 340-1607
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JANA KAY REICHENBERGER PA 5071

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