Referral Doctor
Code
Contact Details
Qualification Details
Personal Data
Mail List
Fiscal Code 1
Title
Address
Fiscal Code 2
Title CT
City
Medical Code
Surname
Province
Registration Number 1
Forename
Zip
Registration Number 2
Middle Name
Health Care Area
Registration Date
Date of Birth
Health Care Region
Business Phone
Graduation Date
Referral Doctor Details
Mobile Phone
Graduation Place
Date From
Telephone
Masters Date
Date To
Fax
Masters Place
Type
Confidential Fax
Specialist
Email
Qualification Date
Specialty
Email2
Qualification Place
Health Care Code
Preferred Contact Method
Agency
Bank
Check Referral Limit
Address 2
Bank Account
Maximum Referral Limit
City 2
Billing Group
Province 2
Clinic
Group
Zip 2
Services
Text 1
Substitute
Text 2
Health Care Area Effective Dates
Organisation Change Date
Lab Doctor Reports