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Oklahoma Board of Medical Licensure and Supervision

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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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MATHESON, MICHAEL ROBERT       
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: 22346 BOUNDSTONE DR
PARKER CO 80138-8357

Address last updated on 12/1/2019
Phone #: (303) 721-9569
Fax #: (303) 721-9540
County: NOT OKLAHOMA
License: 28185
Dated: 12/27/2010
Expires: 12/1/2021
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: Georgetown Univ Sch Of Med, Washington DC 20007
Graduated: 5 / 1983
CME Year: 2022
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
,
Locations: Hours: Languages:
22346 BOUNDSTONE DR
PARKER CO 80138-8357

Phone #: (303) 721-9569
Fax #: (303) 721-9540
Mon: 5:00PM - 11:00PM
Tue: 5:00PM - 11:00PM
Wed: 5:00PM - 11:00PM
Thu: 5:00PM - 11:00PM
Fri: 5:00PM - 11:00PM
Sat: 5:00PM - 11:00PM
Sun: 5:00PM - 11:00PM

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