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TERAMOTO, ROY KIYOHARU       
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: PHOENIX INDIAN MEDICAL CENTER
4212 N. 16TH ST.
PHOENIX AZ 85016-5389

Address last updated on 5/7/2014
Phone #: (602) 263-1551
Fax #:
County: NOT OKLAHOMA
License: 14222
Dated: 6/1/1983
Expires: 6/1/2014
License Type: Medical Doctor
Specialty: Pediatrics
Pediatric Nephrology
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Keck Sch of Med of the USC, LOS ANGELES CA 90089
Graduated: 6 / 1976
CME Year: 2016
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: AMERICAN BOARD OF PEDIATRICS
AMERICAN BOARD OF PEDIATRICS - Pediatric Nephrology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
PHOENIX INDIAN MEDICAL CENTER
4212 N. 16TH ST.
PHOENIX AZ 85016-5389

Phone #: (602) 263-1551
Fax #:

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