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WALLACE, ANTHONY 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: TULSA X-RAY LABORATORIES, INC
4500 S GARNETT RD #919
TULSA OK 74146

Address last updated on 3/26/2009
Phone #: (918) 728-6145
Fax #:
County: TULSA
License: 2
Dated: 3/26/2009
Expires: 3/31/2025
License Type: Radiologist Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 0
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:
TULSA X-RAY LABORATORIES, INC
4500 S GARNETT RD #919
TULSA OK 74146

Phone #: (918) 728-6145
Fax #:
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BRAD CARLSON MD 27684
GEORGE JOHN CARSTENS III MD 20153
MICHAEL CONNOR CROSS MD 25836
GEOFFREY ALLEN DAY MD 16914
MATTHEW KENT FORD MD 29076
SHAWN DAVID GRANT MD 29570
JASON DONALD MARTENS MD 22358
FRANK EDWARD RABE MD 20390
ROBERT ALAN STREIGHT MD 14362
STUART KENT STRICKLAND MD 18366

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