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Last Update: Wednesday, December 25, 2024 1:14 PM CST
Next Update: Wednesday, December 25, 2024 4:30 PM CST

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VU, PHU       
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: MERCY VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Address last updated on 5/20/2024
Phone #: (636) 237-4200
Fax #:
County: NOT OKLAHOMA
License: 35694
Dated: 6/9/2020
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduated: 5 / 2001
CME Year: 2026
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MERCY VIRTUAL
15740 S OUTER FORTY RD
CHESTERFIELD MO 63017

Phone #: (636) 237-4200
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
ALLISON MODGLIN PA 4828
AMEENAH ROBINSON APRN 9615
JAMES SPAW APRN 10514
MATRECHA YATES APRN 123996

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