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SHEPERD, JAIME MANUEL       
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: VIRTUAL RADIOLOGIC PROFESSIONALS
11995 SINGLETREE LANE.
#500
EDEN PRAIRIE MN 55344

Address last updated on 7/21/2010
Phone #: (952) 595-1100
Fax #: (952) 935-2757
County: NOT OKLAHOMA
License: 26378
Dated: 9/1/2008
Expires: 9/1/2011
Temp. Lic. Issued: 8/22/2008
Temp. Lic. Expires: 11/8/2008
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: D Geffen Sch of Med-UCLA, Los Angeles CA 90095
Graduated: 5 / 1993
CME Year: 2011
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: None listed
Locations: Hours: Languages:
VIRTUAL RADIOLOGIC PROFESSIONALS
11995 SINGLETREE LANE.
#500
EDEN PRAIRIE MN 55344

Phone #: (952) 595-1100
Fax #: (952) 935-2757
Mon:
Tue:
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Thu:
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