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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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BALDECK, MARK JOSEPH       
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 RADIOLOGY ASSOCIATES
5801 E 41ST ST
STE. 900
TULSA OK 74135

Address last updated on 9/13/2023
Phone #: (918) 743-9058
Fax #:
County: TULSA
License: 28100
Dated: 10/18/2010
Expires: 10/1/2024
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Vascular and Interventional Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: CREIGHTON UNIV SCH OF MED, OMAHA NE 68178
Graduated: 5 / 1994
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 - Vascular & Interventional Radiology
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Locations: Hours: Languages:
TULSA RADIOLOGY ASSOCIATES
5801 E 41ST ST
STE. 900
TULSA OK 74135

Phone #: (918) 743-9058
Fax #:
Mon: 9:00AM - 5:00PM
Tue: 9:00AM - 5:00PM
Wed: 9:00AM - 5:00PM
Thu: 9:00AM - 5:00PM
Fri: 9:00AM - 5:00PM
Sat: CLOSED
Sun: CLOSED
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BRANDON LYNN BANKS PA 2175
ROBERT DON MIXON RA 5
KYLE REID WERTZBERGER PA 2326

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