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BOAZ, TRAVIS LEE       
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: BLUE RIDGE RADIOLOGY
3053 W. STATE ST.
BRISTOL TN 37620

Address last updated on 9/10/2023
Phone #: (310) 309-7114
Fax #:
County: NOT OKLAHOMA
License: 23059
Dated: 10/28/2002
Expires: 10/1/2025
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: G WASHINGTON UNIV SCH MED & HLTH SCI, WASHINGTON DC 20037
Graduated: 5 / 1992
CME Year: 2026
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 - Neuroradiology
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific)
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
BLUE RIDGE RADIOLOGY
3053 W. STATE ST.
BRISTOL TN 37620

Phone #: (310) 309-7114
Fax #:
Mon: 11:00AM - 8:00PM
Tue: 11:00AM - 8:00PM
Wed: 11:00AM - 8:00PM
Thu: 11:00AM - 8:00PM
Fri: 11:00AM - 9:00PM
Sat:
Sun:

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