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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST
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NIEBERGALL, ROBERT GERALD
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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.
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| Practice Address: |
800 WEST BOISE CIRCLE
BROKEN ARROW OK 74102
Address last updated on 4/2/2024 |
| Phone #: |
(918) 994-9160 |
| Fax #: |
(918) 293-3169 |
| County: |
TULSA |
| License: |
13607 |
| Dated: |
5/17/1982 |
| Expires: |
5/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Internal Medicine
GERIATRICS |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico |
| Graduated: |
6 /
1978 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Yes |
| Medicaid: |
No |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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