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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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PHILLIPS, JINNAH A.       
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: DIVERSIFIED RADIOLOGY OF COLORADO
1746 COLE BLVD
STE 150
LAKEWOOD CO 80401-3267

Address last updated on 7/14/2024
Phone #: (303) 914-8800
Fax #:
County: NOT OKLAHOMA
License: 31652
Dated: 9/15/2015
Expires: 9/1/2025
Temp. Lic. Issued: 8/11/2015
Temp. Lic. Expires: 11/5/2015
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132
Graduated: 5 / 2002
CME Year: 2027
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:
DIVERSIFIED RADIOLOGY OF COLORADO
1746 COLE BLVD
STE 150
LAKEWOOD CO 80401-3267

Phone #: (303) 914-8800
Fax #:
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TOUCHSTONE IMAGING OKLAHOMA CITY
3500 NW 56th Street Suite 105
Oklahoma City, OK 73112-451

Phone #: (405) 943-0055
Fax #: (10) 201-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MICHAEL SHAWN SCALF PA 1210

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