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WHITE, JASON MATTHEW       
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: CAPITAL RADIOLOGY PLLC DBA BIG HORN RADIOLOGY
1401 WEST 5TH STREET
PO BOX 688
SHERIDAN WY 82801

Address last updated on 12/3/2012
Phone #: (307) 673-4689
Fax #:
County: NOT OKLAHOMA
License: 28875
Dated: 1/3/2012
Expires: 1/1/2014
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Oh State Univ Coll Of Med and Pub Hlth, Columbus Oh 43210
Graduated: 6 / 1998
CME Year: 2015
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:
CAPITAL RADIOLOGY PLLC DBA BIG HORN RADIOLOGY
1401 WEST 5TH STREET
PO BOX 688
SHERIDAN WY 82801

Phone #: (307) 673-4689
Fax #:
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