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KOSUT, SHEPHARD SPOONER       
Practice Address: EAGLE EYE RADIOLOGY
12100 SUNRISE VALLEY DR
SUITE 290-B
RESTON VA 20191

Address last updated on 4/5/2012
Phone #: (703) 652-1200
Fax #:
County: NOT OKLAHOMA
License: 25640
Dated: 6/7/2007
Expires: 6/1/2013
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: NEW YORK MED COLL, VALHALLA NY 10595
Graduated: 5 / 2002
CME Year: 2013
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EAGLE EYE RADIOLOGY
12100 SUNRISE VALLEY DR
SUITE 290-B
RESTON VA 20191

Phone #: (703) 652-1200
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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