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MATSUURA, IAN MAKOTO
Practice Address: 207 PALISADES AVE
SANTA MONICA CA 90402

Address last updated on 8/12/2015
Phone #: (561) 706-1133
Fax #:
County: NOT OKLAHOMA
License: 25936
Dated: 9/26/2007
Expires: 9/1/2015
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Neuroradiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Toronto, Fac Of Med, Toronto, Ont, Canada
Graduated: 6 / 1993
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 RADIOLOGY - Neuroradiology
AMERICAN BOARD OF RADIOLOGY (Diagnostic Radiology specific)
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
,
Purcell Municipal Hospital
Purcell, OK
Locations: Hours: Languages:
207 PALISADES AVE
SANTA MONICA CA 90402

Phone #: (561) 706-1133
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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