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ROCHE, ROBERT RAPHAEL       
Practice Address: 3520 PIEDMON ROAD NE
SUITE 250
ATLANTA GA 30305

Address last updated on 11/30/2011
Phone #:
Fax #:
County: NOT OKLAHOMA
License: 26679
Dated: 12/18/2008
Expires: 12/1/2012
Temp. Lic. Issued: 12/5/2008
Temp. Lic. Expires: 1/30/2009
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduated: 6 / 1976
CME Year: 2014
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: None listed
Locations: Hours: Languages:
3520 PIEDMON ROAD NE
SUITE 250
ATLANTA GA 30305

Phone #:
Fax #:

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