RADIOLOGY,OUTSIDE SERVICE (15) NEW PERSON (200)

Name	Value
NAME	RADIOLOGY,OUTSIDE SERVICE
SIGNATURE BLOCK PRINTED NAME	OUTSIDE SERVICE RADIOLOGY
SECONDARY MENU OPTIONS
TIMESTAMP	2025-08-21 09:30:46
DATE ENTERED	2025-08-21 00:00:00
CREATOR	PATCH,USER
RAD/NUC MED CLASSIFICATION	staff
PERSON CLASS	Person Class: Allopathic & Osteopathic Physicians Effective Date: 2008-07-21 00:00:00
USER CLASS	User Class: APPLICATION PROXY ISPRIMARY: Yes