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WALTERS, MICHAEL JOHN       
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: 4500 S GARNETT ROAD
SUITE 112
TULSA OK 74146

Address last updated on 4/12/2021
Phone #: (918) 935-3550
Fax #: (918) 935-3581
County: TULSA
License: 34629
Dated: 4/23/2019
Expires: 4/1/2022
License Type: Medical Doctor
Specialty: Radiology
Neurology/Diagnostic Radiology/Neuroradiology
Vascular and Interventional Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430
Graduated: 5 / 2012
CME Year: 2022
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
4500 S GARNETT ROAD
SUITE 112
TULSA OK 74146

Phone #: (918) 935-3550
Fax #: (918) 935-3581
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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