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CHURCH, THOMAS 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: VIRTUAL RADIOLOGIC
11995 SINGLETREE LANE SUITE 500
EDEN PRAIRIE MN 55344

Address last updated on 6/9/2020
Phone #: (952) 595-1100
Fax #:
County: NOT OKLAHOMA
License: 35066
Dated: 8/27/2019
Expires: 1/30/2021
Temp. Lic. Issued: 7/30/2019
Temp. Lic. Expires: 9/12/2019
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA, San Diego, Sch Of Med, La Jolla CA 92093
Graduated: 6 / 1981
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 (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
Locations: Hours: Languages:
VIRTUAL RADIOLOGIC
11995 SINGLETREE LANE SUITE 500
EDEN PRAIRIE MN 55344

Phone #: (952) 595-1100
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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