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FISHER, TIMOTHY SEBASTIAN       
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: NIGHTHAWK RADIOLOGY SERVICES
601 FRONT AVENUE #400
COEUR D ALENE ID 83814-5155

Address last updated on 6/2/2010
Phone #: (208) 676-8321
Fax #: (208) 763-3713
County: NOT OKLAHOMA
License: 24105
Dated: 9/21/2004
Expires: 9/1/2010
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA, San Diego, Sch Of Med, La Jolla CA 92093
Graduated: 6 / 1997
CME Year: 2010
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: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Wagoner Community Hospital
Wagoner, OK
Locations: Hours: Languages:
NIGHTHAWK RADIOLOGY SERVICES
601 FRONT AVENUE #400
COEUR D ALENE ID 83814-5155

Phone #: (208) 676-8321
Fax #: (208) 763-3713
Mon:
Tue:
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