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GREEN, ADAM STANLEY       
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: MOUNTAIN VIEW HOSPITAL
1000 E 100 N
DEPARTMENT OF RADIOLOGY
PAYSON UT 84651

Address last updated on 9/1/2012
Phone #: (801) 960-0254
Fax #:
County: NOT OKLAHOMA
License: 24032
Dated: 9/12/2005
Expires: 9/1/2013
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Al Sch Of Med, Birmingham Al 35294
Graduated: 6 / 2004
CME Year: 2014
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 INTERNAL MEDICINE
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:
MOUNTAIN VIEW HOSPITAL
1000 E 100 N
DEPARTMENT OF RADIOLOGY
PAYSON UT 84651

Phone #: (801) 960-0254
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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