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Physician Spotlight Nomination

Thank you for submitting an idea for our Physician Spotlight. This monthly feature focuses on unique physicians who have an interesting background ... personally, professionally or both. Sometimes doctors are profiled because of unique hobbies, sometimes because of groundbreaking research or techniques, and sometimes just because they are making a real difference in the lives' of their patients or impacting the practice of medicine. Please fill out the information below to submit for consideration the name of a physician who would make an intriguing subject for future spotlights.

Name of MD

Name of Practice and Major Hospital Affiliation(s)

Medical Specialty/Scope of Practice

Interesting Facts about this Physician

Why You are Submitting this Physician for Consideration?

Appropriate Contact Information for Follow-up with Physician

Secret Code


In the box below, enter the Secret Code exactly as it appears above *
 
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