Destiny Atkins

 
 Destiny Atkins 
 MRN: 5692693 
 Preferred Pharmacy (continued) 
 Referral (continued) 
 Order 
 MRI ARTH SHOULDER W/ CONTRAST RIGHT [676335615] 
 signature: Dennis S Frerichs, PA-C on 22/05/05 0699 
 Status: Completed 
 This order may be acted on in another encounter. 
 Ordering user: Dennis S Frerichs, PA-C 02/22/23 0949 
 Authorized by: Dennis S Frerichs, PA-C 
 Ordered during: Office Visit on 23/11/12
 Screening Form 
 General Information 
 PATIENT: Destiny Atkins
 MRN: 5692693 
 Date of Birth: 97/11/29
 Mobile: 569-969-4699 
 Sex Assigned at Birth: Male 
 MC ROCKWOOD MAIN CLINIC Destiny Atkins
 - SPOKANE 
 MRN: 5602313, Date of Birth: 97/11/29, Sex: M 
 400 East 5th Ave 
 Date of Visit: 16/07/02
 Spokane WA 99202-1334 
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 Printed by 414221 at 7/17/23 9:40 AM