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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST
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MARTIN, BRETT S
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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.
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| Practice Address: |
VIRTUAL RADIOLOGIC
11995 SINGLETREE LANE SUITE 500
EDEN PRAIRIE MN 55344
Address last updated on 12/10/2024 |
| Phone #: |
(952) 595-1100 |
| Fax #: |
(612) 294-4920 |
| County: |
NOT OKLAHOMA |
| License: |
35421 |
| Dated: |
2/25/2020 |
| Expires: |
2/1/2026 |
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Temp.
Lic.
Issued:
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2/14/2020 |
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Temp.
Lic.
Expires:
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3/5/2020 |
| License Type: |
Medical Doctor |
| Specialty: |
Diagnostic Radiology |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
LSU Sch Of Med in Shreveport, Shreveport La 71130 |
| Graduated: |
5 /
2012 |
| CME Year: |
2026 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific) |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
Mercy Hospital Healdton (fmly Healdton Municipal)
Healdton, OK
Mercy Hospital Kingfisher (fmly Kingfisher RH)
Kingfisher, OK
Mercy Hospital Logan County (fmly Logan Hosp. and MC)
Guthrie, OK
Mercy Hospital Tishomingo (fmly Johnston Memorial)
Tishomingo, OK
Mercy Hospital Watonga (fmly Watonga Municipal Hospital)
Watonga, OK
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Oklahoma Heart Hospital - South Campus (5200 I-240 Service Rd)
Oklahoma City, OK
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