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NEEDELL, WILLIAM MACK       
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: TEMP RAD PC
PO BOX 1968
MONUMENT CO 80132-1968
Phone #: (303) 648-9794
Fax #:
County: NOT OKLAHOMA
License: 21327
Dated: 7/26/1999
Expires: 7/1/2005
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Nuclear Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduated: 6 / 1982
CME Year: 2005
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
TEMP RAD PC
PO BOX 1968
MONUMENT CO 80132-1968

Phone #: (303) 648-9794
Fax #:

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