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LANCE, JASON NOEL
Practice Address: MEDICAL IMAGING ASSOCIATES
2265 EAST SUNNYSIDE RD
IDAHO FALLS ID 83404

Address last updated on 7/23/2012
Phone #: (208) 542-5000
Fax #: (208) 542-5151
County: NOT OKLAHOMA
License: 27337
Dated: 9/15/2009
Expires: 9/1/2012
Temp. Lic. Issued: 8/28/2009
Temp. Lic. Expires: 11/21/2009
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Keck Sch of Med of the USC, LOS ANGELES CA 90089
Graduated: 5 / 2003
CME Year: 2012
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:
MEDICAL IMAGING ASSOCIATES
2265 EAST SUNNYSIDE RD
IDAHO FALLS ID 83404

Phone #: (208) 542-5000
Fax #: (208) 542-5151
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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