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Last Update: Friday, December 20, 2024 6:44 PM CST
Next Update: Saturday, December 21, 2024 2:50 AM CST

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GONZALEZ, GUILLERMO       
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
11475 OLDE CABIN ROAD
SUITE 200
SAINT LOUIS MO 63141

Address last updated on 11/21/2023
Phone #: (314) 991-8200
Fax #:
County: NOT OKLAHOMA
License: 42705
Dated: 4/1/2024
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Radiology
Vascular and Interventional Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Washington Univ in St Louis Sch of Med, St Louis MO
Graduated: 5 / 2009
CME Year: 2027
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 (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
WEST COUNTY RADIOLOGICAL GROUP
11475 OLDE CABIN ROAD
SUITE 200
SAINT LOUIS MO 63141

Phone #: (314) 991-8200
Fax #:

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