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RABOLD, ROGER ALAN       
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: RADIOLOGY ASSOCIATES OF ENID
720 WEST MAINE
SUITE C
ENID OK 73701

Address last updated on 12/23/1999
Phone #: (580) 234-2878
Fax #:
County: GARFIELD
License: 9282
Dated: 7/6/1970
Expires: 7/1/2004
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: UNIV OF MN MED SCH, MINNEAPOLIS MN 55455
Graduated: / 1966
CME Year: 2006
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:
RADIOLOGY ASSOCIATES OF ENID
720 WEST MAINE
SUITE C
ENID OK 73701

Phone #: (580) 234-2878
Fax #:

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