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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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NIEBRUEGGE, DAVID MATHEW       
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: WEST COUNTY RADIOLOGICAL GROUP
615 S. NEW BALLAS RD
CREVE COEUR MO 63141-8221

Address last updated on 10/19/2024
Phone #: (314) 610-6375
Fax #:
County: NOT OKLAHOMA
License: 40412
Dated: 12/21/2022
Expires: 12/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Neuroradiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduated: 6 / 2001
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 (Interventional & Diagnostic specific) - Neuroradiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Health Love County
Marietta, OK
Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Mercy Hospital Healdton (fmly Healdton Municipal)
Healdton, OK
Mercy Hospital Tishomingo (fmly Johnston Memorial)
Tishomingo, OK
Mercy Memorial Health Center, Inc. - Ardmore
Ardmore, OK
Locations: Hours: Languages:
WEST COUNTY RADIOLOGICAL GROUP
615 S. NEW BALLAS RD
CREVE COEUR MO 63141-8221

Phone #: (314) 610-6375
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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