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JACKSON, DAVID BRUCE       
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: NIGHTHAWK RADIOLOGY SERVICES
601 FRONT AVE #400
COEUR DALENE ID 83814

Address last updated on 6/2/2010
Phone #: (208) 292-2267
Fax #: (208) 763-3713
County: NOT OKLAHOMA
License: 26109
Dated: 9/18/2008
Expires: 9/1/2010
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Neurology/Diagnostic Radiology/Neuroradiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA Davis, Sch Of Med, Davis CA 95616
Graduated: 6 / 1985
CME Year: 2011
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
AMERICAN BOARD OF RADIOLOGY - Neuroradiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
NIGHTHAWK RADIOLOGY SERVICES
601 FRONT AVE #400
COEUR DALENE ID 83814

Phone #: (208) 292-2267
Fax #: (208) 763-3713
Mon:
Tue:
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Thu:
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Sun:

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