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Oklahoma Board of Medical Licensure and Supervision

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KLEPCZYK, BRIAN ROBERT       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: HILLCREST MEDICAL CENTER
SOUTH UTICA AVE
TULSA OK 74104

Address last updated on 7/24/2014
Phone #: (918) 579-4200
Fax #:
County: TULSA
License: 9
Dated: 9/18/2014
Expires: 3/31/2025
Temp. Ltr. Issued: 8/1/2014
Temp. Ltr. Expires: 9/19/2014
License Type: Radiologist Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
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:
HILLCREST MEDICAL CENTER
SOUTH UTICA AVE
TULSA OK 74104

Phone #: (918) 579-4200
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRAD CARLSON MD 27684
GEORGE JOHN CARSTENS III MD 20153
MICHAEL CONNOR CROSS MD 25836
MATTHEW KENT FORD MD 29076
SHAWN DAVID GRANT MD 29570
JASON DONALD MARTENS MD 22358
FRANK EDWARD RABE MD 20390
ROBERT ALAN STREIGHT MD 14362

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