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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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DIAZ, FAUSTO       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 25 STAR ROUTE
BOX 1607
REIDSVILLE GA 30453
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 14163
Dated: 5/20/1983
Expires: 5/1/2000
License Type: Medical Doctor
Specialty: Family Medicine
Emergency Medicine
General Practice
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Auto De Santo Domingo (Uasd), Fac De Cien Med, Santo Domingo
Graduated: 2 / 1957
CME Year: 2001
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
25 STAR ROUTE
BOX 1607
REIDSVILLE GA 30453

Phone #:
Fax #:

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