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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 |
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