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Last Update: Friday, May 3, 2024 11:57 AM CDT
Next Update: Friday, May 3, 2024 4:30 PM CDT
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THEISEN, JEREMY DAVID |
| Practice Address: |
1900 N 14TH ST
PONCA CITY OK 74601
Address last updated on 6/22/2023 |
| Phone #: |
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| Fax #: |
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| County: |
KAY |
| License: |
29296 |
| Dated: |
8/12/2013 |
| Expires: |
8/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Radiology
Vascular and Interventional Radiology
Pain Medicine |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
YES |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
2012 |
| CME Year: |
2025 |
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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: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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