Adam Mcdonald

 
 Adam Mcdonald DOB: 30 Nov 1998 (40 yo M) Acc No. CR165247 
 [Doc Name: 16 May 2015 MRI LUMBAR SPINE] 
 4933 University Blvd W 
 Jacksonville, FL32216 
 ADVANCED 
 Upright Open MRI & X-Ray 
 DIAGNOSTIC GROUP 
 High Field MRI 
 Tampa . Brandon . Lakeland . Kissimmee . Orlando . Jacksonville . Orange Park . Palm Beach Gardens - Jupiter 
 PATIENT NAME: Adam Mcdonald 
 PATIENT ID: 4167393 
 REFERRING PHYSICIAN: AMY WU, PA-C 
 DOB: 
 30 Nov 1998 
 REFERRING PHONE: 
 DOS: 
 29 Nov 2014 
 REFERRING FAX: 
 EXAMINATION: MRI LUMBAR SPINE WITHOUT CONTRAST 
 GEORGE VEGA, MD 
 Electronically signed on: 15 Apr 2014 9:10:40 AM 
 Transcribed by: JN on: 15 Apr 2014 7:12:17 AM 
 L3-51 
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 Adam Mcdonald DOB: 30 Nov 1998 (40 yo M) Acc No. CR165247 
