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RALSTON, THOMAS MICHAEL
Practice Address: 14235 RIDGEMONT DRIVE
URBANDALE IA 50323

Address last updated on 11/18/2013
Phone #: (515) 221-2339
Fax #:
County: NOT OKLAHOMA
License: 25813
Dated: 9/26/2007
Expires: 9/1/2013
Temp. Lic. Issued: 9/13/2007
Temp. Lic. Expires: 11/3/2007
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: CREIGHTON UNIV SCH OF MED, OMAHA NE 68178
Graduated: 5 / 1978
CME Year: 2013
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 RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Duncan Regional Hospital
Duncan, OK
Northwest Surgical Hospital
Oklahoma City, OK
Share Medical Center
Alva, OK
Locations: Hours: Languages:
14235 RIDGEMONT DRIVE
URBANDALE IA 50323

Phone #: (515) 221-2339
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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