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Oklahoma Board of Medical Licensure and Supervision

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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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LEACH, ERIC WAYNE       
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 CONSULTANTS OF TULSA
5801 E 41ST ST
STE 900
TULSA OK 74135

Address last updated on 2/2/2024
Phone #: (918) 743-8838
Fax #:
County: TULSA
License: 1871
Dated: 1/15/2010
Expires: 3/31/2025
Temp. Ltr. Issued: 1/8/2010
Temp. Ltr. Expires: 5/21/2010
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
RADIOLOGY CONSULTANTS OF TULSA
5801 E 41ST ST
STE 900
TULSA OK 74135

Phone #: (918) 743-8838
Fax #:

Hospital Privileges:

St. Francis Hospital
Tulsa, OK
St. Francis Hospital - SOUTH
Tulsa, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
TATE BRANDON ALLEN MD 21029
MICHAEL EDWIN CLOUSER MD 11507
SUCHITRA GODARA MD 26984
SIMER KAUR GREWAL MD 41099
HERBERT EDWARD HAMILTON MD 19120
DAVID JAY HARRIS MD 18423
KIM ROYCE HAUGER MD 15635
ANDREW HENDRICKSON MD 29125
CHARLES HOUNSHELL DO 6850
JOHN HOUSTON JENNINGS MD 20196
ANIL A KILPADIKAR MD 24891
MARK DAVID KRAEMER MD 18510
RONALD CARL KRIEGER MD 13142
JEROME WILLIAM LARSON MD 35610
LAURA LEIGH DACUS LEE MD 12850
STEVEN BERNARD LEONARD MD 18138
CHRISTOPHER JASON LEPAK MD 23678
GEORGE DAVID LYONS MD 21107
RYAN S. MAKIPOUR MD 39058
LUKE E MATLOFF DO 4730
Khanh Nguyen DO 6460
EMILY RACHEL NORMAN MD 25203
HARISH PATEL MD 27043
STEVEN ELLIOTT SHEFFNER MD 17759
JEFFREY SCOTT STAFIRA MD 22902
W JORDAN TAYLOR MD 19744
PHILLIP TRAINO JR DO 3888
JIMMY TRAN MD 33901
NHAN P. TRUONG MD 18537
THOMAS ELMER WILEY III MD 24695

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