PHILLIPS, JINNAH A. - Licensee Information

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Last Update: Friday, May 17, 2024 7:03 PM CDT
Next Update: Saturday, May 18, 2024 2:50 AM CDT

PHILLIPS, JINNAH A.

Practice Address:	DIVERSIFIED RADIOLOGY OF COLORADO 1746 COLE BLVD STE 150 LAKEWOOD CO 80401-3267 Address last updated on 7/25/2023
Phone #:	(303) 914-8800
Fax #:
County:	NOT OKLAHOMA
License:	31652
Dated:	9/15/2015
Expires:	9/1/2024
Temp. Lic. Issued:	8/11/2015
Temp. Lic. Expires:	11/5/2015
License Type:	Medical Doctor
Specialty:	Diagnostic Radiology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduated:	5 / 2002
CME Year:	2024

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 (Diagnostic Radiology specific)
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	None listed

Locations:	Hours:	Languages:
DIVERSIFIED RADIOLOGY OF COLORADO 1746 COLE BLVD STE 150 LAKEWOOD CO 80401-3267 Phone #: (303) 914-8800 Fax #:	Mon: Tue: Wed: Thu: Fri: Sat: Sun:
TOUCHSTONE IMAGING OKLAHOMA CITY 3500 NW 56th Street Suite 105 Oklahoma City, OK 73112-451 Phone #: (405) 943-0055 Fax #: (10) 201-	Mon: Tue: Wed: Thu: Fri: Sat: Sun:

Name:	Type:	License Number:	Full/Part Time:
Primary Supervisees(s):
MICHAEL SHAWN SCALF	PA	1210