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BRUMBACK, ROGER ALAN       
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: CREIGHTON UNIV MED CTR-PATHOLOGY
601 N 30TH STREET
OMAHA NE 68131-2197

Address last updated on 7/8/2002
Phone #: (402) 280-4858
Fax #:
County: NOT OKLAHOMA
License: 15854
Dated: 9/6/1986
Expires: 9/1/2003
License Type: Medical Doctor
Specialty: Anatomic/Clinical Pathology
Pediatrics
Neurology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: PA STATE UNIV COLL OF MED, HERSHEY PA 17033
Graduated: 6 / 1971
CME Year: 2003
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 PATHOLOGY
AMERICAN BOARD OF PEDIATRICS
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CREIGHTON UNIV MED CTR-PATHOLOGY
601 N 30TH STREET
OMAHA NE 68131-2197

Phone #: (402) 280-4858
Fax #:

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