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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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FISCHER, IAN THOMAS       
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: ST. JOHN HEALTH SYSTEM
DEPARTMENT OF RADIOLOGY
1819 E. 19TH ST
TULSA OK 74104

Address last updated on 6/3/2024
Phone #: (918) 744-2345
Fax #:
County: TULSA
License: 29348
Dated: 7/30/2012
Expires: 7/1/2025
Temp. Lic. Issued: 6/15/2012
Temp. Lic. Expires: 9/14/2012
License Type: Medical Doctor
Specialty: Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2005
CME Year: 2027
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 (Diagnostic Radiology specific)
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific) - Neuroradiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
ST. JOHN HEALTH SYSTEM
DEPARTMENT OF RADIOLOGY
1819 E. 19TH ST
TULSA OK 74104

Phone #: (918) 744-2345
Fax #:
Mon: HOURS VARY BY SHIFT
Tue: HOURS VARY BY SHIFT
Wed: HOURS VARY BY SHIFT
Thu: HOURS VARY BY SHIFT
Fri: HOURS VARY BY SHIFT
Sat: HOURS VARY BY SHIFT
Sun: HOURS VARY BY SHIFT
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JASON LEE FRIEDERICH RA 7
ROBERT DON MIXON RA 5

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