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ALLISON, MATTHEW CAMPBELL       
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 #290-B
RESTON VA 20191

Address last updated on 8/22/2012
Phone #: (703) 652-1200
Fax #:
County: NOT OKLAHOMA
License: 28644
Dated: 9/27/2011
Expires: 9/1/2013
License Type: Medical Doctor
Specialty: Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: VA COMMONWEALTH UNIV, SCH OF MED, RICHMOND VA 23298
Graduated: 5 / 1992
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 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:
EAGLE EYE RADIOLOGY
12100 SUNRISE VALLEY DRIVE #290-B
RESTON VA 20191

Phone #: (703) 652-1200
Fax #:

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