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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, April 30, 2024 10:05 AM CDT
Next Update: Tuesday, April 30, 2024 12:00 PM CDT

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BANKS, BRANDON LYNN
Practice Address: ST JOHN MEDICAL CENTER
INTERVENTIONAL RADIOLOGY DEPARTMENT
1923 S UTICA AVE
TULSA OK 74104-5410

Address last updated on 2/13/2024
Phone #: (918) 744-2171
Fax #: (918) 744-3548
County: TULSA
License: 2175
Dated: 1/10/2013
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:
ST JOHN MEDICAL CENTER
INTERVENTIONAL RADIOLOGY DEPARTMENT
1923 S UTICA AVE
TULSA OK 74104-5410

Phone #: (918) 744-2171
Fax #: (918) 744-3548

Hospital Privileges:

St. John Medical Center
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
MARK JOSEPH BALDECK MD 28100
Colby DeGiacomo DO 6641
Kari Hopfer DO 6676
Stephanie E. Kelly DO 3749
LARRY MATHIAS DO 7571
CORDELL LEE PRIVAT MD 30549
JESSICA WEBER DO 4585

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