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COLLINS, ROGER BARRETT
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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.
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Practice Address: |
15012 GAILLARDIA LANE
OKLAHOMA CITY OK 73142-1842
Address last updated on 6/25/2007 |
Phone #: |
(405) 359-0797 |
Fax #: |
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County: |
OKLAHOMA |
License: |
9872 |
Dated: |
1/22/1973 |
Expires: |
1/1/2008 |
License Type: |
Medical Doctor |
Specialty: |
Diagnostic Radiology
Nuclear Radiology |
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Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
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Registered to Dispense: |
NO |
Medical School: |
UNIV OF TN, HLTH SCI CTR, COLL OF MED, MEMPHIS TN 38163 |
Graduated: |
6 /
1967 |
CME Year: |
2010 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Certifications: |
AMERICAN BOARD OF RADIOLOGY |
New Patients: |
Yes |
Medicaid: |
Yes |
Medicare: |
Yes |
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HMO/PPO: |
Aetna PPO
BlueChoice PPO
HealthChoice
Preferred Community Choice |
Hospital Privileges: |
INTEGRIS Baptist Medical Center
Oklahoma City, OK
INTEGRIS Baptist Portland Ave (fmly Deaconess Hospital)
Oklahoma City, OK
INTEGRIS Canadian Valley Regional Hospital
Yukon, OK
Northwest Surgical Hospital
Oklahoma City, OK
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