home *** CD-ROM | disk | FTP | other *** search

---

/ ftp.americansys.com / 2014.06.ftp.americansys.com.tar / ftp.americansys.com / plott / NexTech_Practice_Manual.chm / redoaddprocstorefphys.jpg

< prev

next >

Joint Photographic Experts Group Image  |  2013-06-22  |  124KB  |  425x462  |  16-bit (9,369 colors)

Labels: bulletin board | chat room | dialog box | index register | monitor | sky
OCR: Provider Other Supplier Hogan John MD Ref Phys Users Notes Follow Histon Contact Type Referring Physician Accour Pref MD Follow adv.... Middl Last Hogar Addres 54.AnnleLa Bity State Mileton NY 12546 Spouse OMal Female Bitth Dale SSN Contact Specific Information FederalEmp 65165121651 UPIN 65416-1-000 Wke Ccnp 2165103 Medicare 25155-23 Medicaid P5105-151 Other ID License# ODH54168541 DEA JH-3216842 BCBS 25464 Ref PhysID 551165165 Laorom Code Procedures Custom Information Specilly Dermatologist Custom 3 Custom 2 Custom History Compary Accourt Middle Addrest Citu Birth Date Specifi 6516512165 Workers Comp 0DH54 3216847 165165 Taxonomy Intomation Specialy

---