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Next Update: Thursday, May 16, 2024 4:30 PM CDT

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TUPPONCE, ALAN KEITH       
Practice Address: PHOENIX INDIAN MEDICAL CENTER
DEPARTMENT OF PEDIATRICS
4212 N 16TH ST
PHOENIX AZ 85016-531

Address last updated on 5/14/2022
Phone #: (602) 263-1507
Fax #:
County: NOT OKLAHOMA
License: 21275
Dated: 7/7/1999
Expires: 7/1/2023
Training Issued: 7/2/1998
Training Expires: 8/1/1999
License Type: Medical Doctor
Specialty: Pediatrics
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of NM Sch Of Med, Albuquerque Nm 87131
Graduated: 5 / 1998
CME Year: 2023
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
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
PHOENIX INDIAN MEDICAL CENTER
DEPARTMENT OF PEDIATRICS
4212 N 16TH ST
PHOENIX AZ 85016-531

Phone #: (602) 263-1507
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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