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Next Update: Thursday, December 19, 2024 12:00 PM CST
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PUCKETT, JERRY HANSON
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This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
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| Practice Address: |
No Current Practice Address
Address last updated on 2/6/2020 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
12175 |
| Dated: |
4/25/1979 |
| Expires: |
4/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Otolaryngology
Head & Neck Surgery |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of AR Coll Of Med, Little Rock AR 72205 |
| Graduated: |
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1975 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF OTOLARYNGOLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
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| HMO/PPO: |
Aetna PPO
BlueChoice PPO
BlueLincs HMO
CommunityCare HMO, Inc
HealthChoice
PacifiCare of Oklahoma, Inc
Preferred Community Choice
SoonerCare HMO
United Healthcare Options PPO |
| Hospital Privileges: |
None listed |
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| Locations: |
Hours: |
Languages: |
No Current Practice Address
Phone #:
Fax #:
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Tue:
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