Locums & Permanent Job Seeking Physician Registration

Job Seeking Physicians Surgeons MD's DO's

ex. Jim Smith, M.D.

Best Phone:

ex. 555-555-5555 x123

E-mail:

ex. Fred@yahoo.com

Best way to reach me Use e-Mail address above Use the Work Phone Number above Use the Cell Phone Number above Use the Home Phone Number above Use the FAX Phone Number above Use the Pager Number above

Select one

Select Profession Physician, M.D. Physician, D.O.

ex. Physician, M.D.

Select SpecialtyAddictionologyAdministration Non-ClinicalAerospace MedicineAllergy and ImmunologyAmbulatory CareAnesthesiologyAnesthesiology/CardiacBioMedicineCardio Thoracic SurgeonCardiologyCardiology ElectrophysiologyCardiology InterventionalCardiology InvasiveCardiology Non InvasiveCardiology NuclearCardiology PediatricCorrectional MedicineCritical Care SpecialistCRNADermapathologyDermatologyDiabetesEmergency Medicine (AAOS)Emergency Medicine (BC)Emergency Medicine (BC-Oth)Emergency Medicine (BE)Emergency Medicine (BE-PC)Emergency Medicine (BS-PC)Emergency Medicine (Not BC)Emergency Medicine (Res Tng)Emergency Medicine PediatricEmergency Medicine GeneralEndocrinologistFamily Practice w/OBFamily Practice w/out OBForensic PathologyGastroenterology - HepatologyGastroenterologyGeneral PracticeGeneral Preventive MedicineGeriatricianGeriatricsGeriatrics/Internal MedicineGynecologyHand Orthopedic SurgeonHematologyHeptologyHospitalistHyperbaric MedicineInfectious DiseasesIntegrative MedicineInternal Medicine /HospitalInternal Medicine/PediatricGeneral Internal MedicineMaritime-Cruise Ship MedicineMedical Admin/DirectorMedical GeneticsMedical InformaticsNeonatologist/PerinatologisNeonatologyNephrologyNeurologist (Gen)Neurology Pediatric/ChildNeuroradiologyNeuroSurgeonNon Clinical PhysicianNuclear MedicineNurse PractitionerOBGynObstetricsOccupational MedicineOncology GynecologicalOncology HematologyOncology MedicalOncology RadiationOncologyOphthalmologistOphthalmologist/CorneaOphthalmologist/GlaucomaOphthalmologist/PlasticOphthalmologist/RetinalOrtho/Trauma SurgeonOrthopedic Medical OncologistOrthopedic SurgeonOrthopedic Surgeon/SpineOrthopedicsOtolaryngologyOtologyPain ManagementPathologyPediatric GeneralPediatric Adolescent Med SpecPediatric CardiologyPediatric Child NeurologyPediatric Child PsychiatryPediatric DermatologyPediatric Develop/DisordPediatric Emerg MedPediatric EndocrinologisPediatric GastroenterolgistPediatric Hem/OncPediatric HospitalistPediatric Intensive CarePediatric IntensivistPediatric Medical GeneticsPediatric NephrologistPediatric NeurologistPediatric OpthalmologistPediatric OtolaryngologsPediatric PulmonologistPediatric Physical Medicine RehabPediatric Rehabilitation MedicinePediatric SurgeonPediatric UrologistPerinatologyPhysical Medicine RehabPhysician AssistantPlastic SurgeryPodiatryPreventive MedicinePsychiatryPsychiatry ChildPsychiatry NeurologyPublic HealthPulmonology-Critical CarePulmonology - PediatricPulmonologyRadiologistRadiologist DiagnosticRadiologist EmergencyRadiologist General/DiagnosticRadiologist ImagingRadiologist InterventionalRadiologist MamographRadiologist MusculoskRadiologist Neuro-InterventRadiologist NeurologicalRadiologist Nuclear MedRadiation OncologyRadiologist PediatricRadiologist Thera/ONCReproductive EndocrinologyRheumatologySports MedicineSurgeon BariatricSurgeon CardiothoracicSurgeon Cardiothoracic PediatricSurgeon CardiovascularSurgeon Colon/RectalSurgeon GeneralSurgeon GynecologicalSurgeon MaxillofacialSurgeon NeurologicalSurgeon OncologistSurgeon OrthopedicsSurgeon Orthopedics PediatricSurgeon Orthopedics SpineSurgeon PediatricSurgeon PlasticSurgeon ThoracicSurgeon TraumaSurgeon UrologicalSurgeon VascularSurgeon OncologyUrgent CareUrology

ex. Internal Medicine

Select Certification Neither Eligible or Cert. Board Certified Board Eligible Resident Graduating Resident CRNA SRNA None

ex. Board Eligible

Select Type of Job Desired Any Opportunity Locums to Perm Locum-Tenens Only Permanent Opportunity Only

ex. Locums to Perm

No Cuurent State Licenses Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

PC: For multiple states, hold down the Control button while selecting states in which you are licensed

Practice Experience 0-1 Years 2-3 Years 3-5 Years 5-7 Years 7-9 Years 10 Years +

ex. 10 Years +

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