MCCOLLOM, VANCE EDMOND - Licensee Information

Search Results

Last Update: Sunday, April 28, 2024 6:57 PM CDT
Next Update: Monday, April 29, 2024 2:50 AM CDT

MCCOLLOM, VANCE EDMOND

Practice Address:	3300 NW EXPRESSWAY 2ND FLOOR NEURO AND INTERVENTIONAL RADIOLOGY OKLAHOMA CITY OK 73112-4418 Address last updated on 7/5/2023
Phone #:	(405) 949-3417
Fax #:	(405) 552-5165
County:	OKLAHOMA
License:	17658
Dated:	7/1/1991
Expires:	7/1/2024
Training Issued:	8/16/1990
Training Expires:	9/1/1991
License Type:	Medical Doctor
Specialty:	Radiology Endovascular Surgical Neuroradiology Vascular and Interventional Radiology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated:	5 / 1990
CME Year:	2024

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 AMERICAN BOARD OF RADIOLOGY - Vascular & Interventional Radiology AMERICAN BOARD OF RADIOLOGY (Interventional & Diagnostic specific)
New Patients:	Yes
Medicaid:	Yes
Medicare:	Yes

HMO/PPO:	Aetna HMO Aetna PPO BlueChoice PPO BlueLincs HMO HealthChoice Preferred Community Choice UniCare Health Plans of Oklahoma United Healthcare HMO United Healthcare Options PPO
Hospital Privileges:	INTEGRIS Baptist Medical Center Oklahoma City, OK

Locations:	Hours:	Languages:
3300 NW EXPRESSWAY 2ND FLOOR NEURO AND INTERVENTIONAL RADIOLOGY OKLAHOMA CITY OK 73112-4418 Phone #: (405) 949-3417 Fax #: (405) 552-5165	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
JESSICA MARIE ACOSTA	PA	2934
ROGER DIXON HELLWEGE	PA	1230
MARGARET LORIMOR	APRN	84764
JILL LEANN MILLER	PA	2101
STEVEN RUSSELL O'DELL	PA	1321
LAURIE NICOLE TODD	PA	2016
SUSAN DORINDA WORSHAM	PA	719