COLL, JONATHAN PATRICK - Licensee Information

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

COLL, JONATHAN PATRICK

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:	STATRAD 13280 EVENING CREEK DRIVE S SUITE 110 SAN DIEGO CA 92128 Address last updated on 2/14/2024
Phone #:	(858) 546-3800
Fax #:
County:	NOT OKLAHOMA
License:	34572
Dated:	4/12/2019
Expires:	4/1/2025
License Type:	Medical Doctor
Specialty:	Diagnostic Radiology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Wright St Univ Boonshoft SOM, Dayton OH
Graduated:	5 / 2005
CME Year:	2025

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)
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
STATRAD 13280 EVENING CREEK DRIVE S SUITE 110 SAN DIEGO CA 92128 Phone #: (858) 546-3800 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
SSM Health St. Anthony Hospital 1000 N. Lee Oklahoma City, OK 73102 Phone #: (405) 272-7000 Fax #: (9) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
SSM Health St. Anthony Shawnee Hospital 1102 W. MacArthur St. Shawnee, OK 74804 Phone #: (405) 273-2270 Fax #: (9) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Norman Regional Health System-HealthPlex 3300 HealthPlex Parkway Norman, OK 73072 Phone #: (405) 515-1000 Fax #: (9) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Norman Regional Health System-Highway 9 2000 Ann Branden Blvd. Norman, OK 73071 Phone #: (405) 307-1000 Fax #: (9) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Norman Regional Health System-Moore 700 S. Telephone Rd. Moore, OK 73160 Phone #: (405) 793-9355 Fax #: (9) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
Norman Regional Health System-Porter Campus 901 N. Porter Ave. Norman, OK 73071 Phone #: (405) 307-1000 Fax #: (9) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
AllianceHealth Ponca City 1900 N 14th St Ponca City, OK 74601 Phone #: (580) 765-3321 Fax #: (9) 202-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

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