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DAVIS, ERIC       
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: EAGLE EYE RADIOLOGY
12100 SUNRISE VALLEY DRIVE
STE 290-B
RESTON VA 20191

Address last updated on 11/30/2011
Phone #: (703) 652-1200
Fax #:
County: NOT OKLAHOMA
License: 27413
Dated: 12/16/2009
Expires: 12/1/2012
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 1998
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
AMERICAN BOARD OF RADIOLOGY - Neuroradiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
EAGLE EYE RADIOLOGY
12100 SUNRISE VALLEY DRIVE
STE 290-B
RESTON VA 20191

Phone #: (703) 652-1200
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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