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FIELEKE, DAVID RYAN       
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: DERMATOLOGY AND SKIN CANCER CENTERS
3265 NE RALPH POWELL ROAD
LEE'S SUMMIT MO 64064

Address last updated on 1/10/2018
Phone #: (573) 356-7265
Fax #:
County: NOT OKLAHOMA
License: 33572
Dated: 2/28/2018
Expires: 2/1/2019
Temp. Lic. Issued: 2/9/2018
Temp. Lic. Expires: 3/8/2018
License Type: Medical Doctor
Specialty: Dermatology
Dermatologic Surgery
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MO, COLUMBIA SCH OF MED, COLUMBIA MO 65212
Graduated: 5 / 2007
CME Year: 2021
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 DERMATOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
DERMATOLOGY AND SKIN CANCER CENTERS
3265 NE RALPH POWELL ROAD
LEE'S SUMMIT MO 64064

Phone #: (573) 356-7265
Fax #:

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