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SHORE, BRADLEY SCOTT       
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: 4901 WILLS ST
METAIRIE LA 70006

Address last updated on 8/17/2011
Phone #: (504) 779-5421
Fax #:
County: NOT OKLAHOMA
License: 24866
Dated: 5/26/2006
Expires: 5/1/2012
Temp. Lic. Issued: 5/4/2006
Temp. Lic. Expires: 6/24/2006
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduated: 6 / 1994
CME Year: 2012
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: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Reynolds Army Community Hospital
Fort Sill, OK
St. Francis Hospital Vinita (fmly Craig General Hospital)
Vinita, OK
Weatherford Regional Hospital (fmly Southwestern Memorial Hospital)
Weatherford, OK
Locations: Hours: Languages:
4901 WILLS ST
METAIRIE LA 70006

Phone #: (504) 779-5421
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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