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Next Update: Thursday, December 19, 2024 2:50 AM CST
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TACKLA, RYAN DAVID
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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.
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| Practice Address: |
6802 S OLYMPIA AVE
SUITE 300
TULSA OK 74132
Address last updated on 6/2/2020 |
| Phone #: |
(918) 749-0762 |
| Fax #: |
(918) 744-4246 |
| County: |
TULSA |
| License: |
33193 |
| Dated: |
7/21/2017 |
| Expires: |
7/1/2021 |
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Temp.
Lic.
Issued:
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7/12/2017 |
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Temp.
Lic.
Expires:
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9/15/2017 |
| License Type: |
Medical Doctor |
| Specialty: |
Neurological Surgery
Endovascular Surgical Neuroradiology |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Cincinnati Coll Of Med, Cincinnati Oh 45267 |
| Graduated: |
5 /
2010 |
| CME Year: |
2023 |
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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: |
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| 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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| Locations: |
Hours: |
Languages: |
6802 S OLYMPIA AVE
SUITE 300
TULSA OK 74132
Phone #:
(918) 749-0762
Fax #:
(918) 744-4246 |
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun: |
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