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Last Update: Saturday, October 19, 2024 1:24 PM CDT
Next Update: Saturday, October 19, 2024 4:30 PM CDT
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THEISEN, JEREMY DAVID
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| Practice Address: |
1323 W 6TH AVE
STILLWATER OK 74074
Address last updated on 9/30/2024 |
| Phone #: |
(858) 546-3800 |
| Fax #: |
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| County: |
PAYNE |
| License: |
29296 |
| Dated: |
8/12/2013 |
| Expires: |
8/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology
Pain Medicine
Vascular and Interventional Radiology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
2012 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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