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FIESER, CARL WALTER       
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: PROFESSIONAL RADIOLOGY
DODGE CITY KS 67801

Address last updated on 5/11/2017
Phone #: (620) 225-1033
Fax #:
County: NOT OKLAHOMA
License: 27160
Dated: 7/16/2009
Expires: 7/1/2018
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1971
CME Year: 2018
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: Harper County Community Hospital
Buffalo, OK
Locations: Hours: Languages:
PROFESSIONAL RADIOLOGY
DODGE CITY KS 67801

Phone #: (620) 225-1033
Fax #:

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