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NEITLICH, TYLER MICHELLE       
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: REAL RADIOLOGY LLC
17310 WRIGHT ST. STE. 103
OMAHA NE 68130

Address last updated on 9/23/2022
Phone #: (833) 228-6889
Fax #:
County: NOT OKLAHOMA
License: 35227
Dated: 11/25/2019
Expires: 11/1/2023
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduated: 6 / 2002
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Chickasaw Nation Medical Ctr (fmly Carl Albert Indian Health Facility-IHS)
Ada, OK
McBride Orthopedic Hospital
Oklahoma City, OK
Norman Regional Hospital
Norman, OK
Locations: Hours: Languages:
REAL RADIOLOGY LLC
17310 WRIGHT ST. STE. 103
OMAHA NE 68130

Phone #: (833) 228-6889
Fax #:
Mon:
Tue:
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Thu:
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