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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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FARMAKIS, SHANNON GRACE       
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: WCRG
615 S. NEW BALLAS RD.
SAINT LOUIS MO 63141

Address last updated on 7/30/2024
Phone #: (314) 251-6031
Fax #:
County: NOT OKLAHOMA
License: 40180
Dated: 9/27/2022
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Pediatric Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: ST LOUIS UNIV SCH OF MED, ST LOUIS MO 63104
Graduated: 5 / 2005
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
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific) - Pediatric Radiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WCRG
615 S. NEW BALLAS RD.
SAINT LOUIS MO 63141

Phone #: (314) 251-6031
Fax #:
Mon: 7:00AM - 5:00PM
Tue: 7:00AM - 5:00PM
Wed: 7:00AM - 5:00PM
Thu: 7:00AM - 5:00PM
Fri: 7:00AM - 5:00PM
Sat:
Sun:

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