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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

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PETERS, BRADLEY 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: 265 ROSWELL FARMS DRIVE
ROSWELL GA 30075

Address last updated on 2/29/2024
Phone #: (404) 513-3842
Fax #:
County: NOT OKLAHOMA
License: 28309
Dated: 3/21/2011
Expires: 3/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: SUNY Upstate Med Univ, Syracuse, NY 13210
Graduated: 5 / 1993
CME Year: 2026
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: None listed
Locations: Hours: Languages:
265 ROSWELL FARMS DRIVE
ROSWELL GA 30075

Phone #: (404) 513-3842
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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