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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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WIDEROFF, MATTHEW JULIAN       
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: MEDICAL AIR RESCUE CPOMPANY
3900 AIRPORT RD
RAPID CITY SD

Address last updated on 12/2/2021
Phone #: (603) 393-0300
Fax #:
County: NOT OKLAHOMA
License: 37333
Dated: 12/30/2020
Expires: 12/1/2022
License Type: Medical Doctor
Specialty:
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
CME Year: 2023
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:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
MEDICAL AIR RESCUE CPOMPANY
3900 AIRPORT RD
RAPID CITY SD

Phone #: (603) 393-0300
Fax #:

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