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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, May 5, 2024 4:03 AM CDT
Next Update: Sunday, May 5, 2024 12:00 PM CDT

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DIAZ, FAUSTO
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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