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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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CARLSON, BRAD       
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: TULSA DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY
1120 S UTICA AVE
TULSA OK 74104

Address last updated on 5/4/2024
Phone #: (918) 579-4200
Fax #:
County: TULSA
License: 27684
Dated: 5/7/2010
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Vascular and Interventional Radiology
Diagnostic Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: VA COMMONWEALTH UNIV, SCH OF MED, RICHMOND VA 23298
Graduated: 5 / 2004
CME Year: 2025
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 (Interventional & Diagnostic specific)
AMERICAN BOARD OF RADIOLOGY (Interventional & Diagnostic specific) - Vascular & Interventional Radio
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
TULSA DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY
1120 S UTICA AVE
TULSA OK 74104

Phone #: (918) 579-4200
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
RANDALL WADE JACKSON RA 1
BRIAN ROBERT KLEPCZYK RA 9
LESLIE ANNE TAYLOR PA 1109
ANTHONY WAYNE WALLACE RA 2

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