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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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PACK, JASON RICKLIN       
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: DIAGNOSTIC IMAGING ASSOCIATES INC.
4500 S GARNETT RD STE 112
TULSA OK 74146

Address last updated on 10/1/2024
Phone #: (918) 935-3550
Fax #: (918) 935-3581
County: OKLAHOMA
License: 22857
Dated: 10/1/2003
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 2002
CME Year: 2027
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 (Diagnostic Radiology specific)
New Patients: No
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Grady Memorial Hospital
Chickasha, OK
Jefferson County Hospital
Waurika, OK
McCurtain Memorial Hospital
Idabel, OK
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery
Oklahoma City, OK
Oklahoma Spine Hospital
Oklahoma City, OK
Locations: Hours: Languages:
DIAGNOSTIC IMAGING ASSOCIATES INC.
4500 S GARNETT RD STE 112
TULSA OK 74146

Phone #: (918) 935-3550
Fax #: (918) 935-3581
Mon:
Tue:
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