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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, December 19, 2024 2:50 AM CST

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NEADERTHAL, ROBERT LEE       
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: EVICORE
730 COOL SPRINGS BLVD #800
FRANKLIN TN 37067

Address last updated on 1/11/2017
Phone #: (615) 468-4000
Fax #: (615) 468-4406
County: NOT OKLAHOMA
License: 28192
Dated: 2/7/2011
Expires: 2/1/2018
Temp. Lic. Issued: 1/28/2011
Temp. Lic. Expires: 3/12/2011
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Georgetown Univ Sch Of Med, Washington DC 20007
Graduated: 6 / 1973
CME Year: 2020
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 INTERNAL MEDICINE
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
Aetna PPO
CIGNA HMO
CIGNA PPO
Great West Healthcare
SoonerCare HMO
Texas Medicaid
Hospital Privileges: None listed
Locations: Hours: Languages:
EVICORE
730 COOL SPRINGS BLVD #800
FRANKLIN TN 37067

Phone #: (615) 468-4000
Fax #: (615) 468-4406
Mon: MANAGED CARE ORGANIZATION
Tue: MANAGED CARE ORGANIZATION
Wed: MANAGED CARE ORGANIZATION
Thu: MANAGED CARE ORGANIZATION
Fri: MANAGED CARE ORGANIZATION
Sat: MANAGED CARE ORGANIZATION
Sun: MANAGED CARE ORGANIZATION

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