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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

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BAIR, JACK MARTIN       
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.
Practice Address: 1000 N LEE
EMERGENCY DEPT
OKLAHOMA CITY OK 73101-0205

Address last updated on 5/2/2022
Phone #: (405) 272-6152
Fax #: (405) 270-7531
County: OKLAHOMA
License: 14272
Dated: 7/1/1983
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1982
CME Year: 2027
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 EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: SSM Health St. Anthony Hospital - OKC
Oklahoma City, OK
Locations: Hours: Languages:
1000 N LEE
EMERGENCY DEPT
OKLAHOMA CITY OK 73101-0205

Phone #: (405) 272-6152
Fax #: (405) 270-7531
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
MATTHEW STEVEN BERTUS PA 861
BRENT MICHAEL DAVIS PA 2052
TIFFANY HOLDER APRN 11620
SASA KOREN JACKSON PA 2107
FARZANA JAHANGIR PA 2494
CHRISTOPHER TODD JAMES PA 1231
JACK BRADLEY SMITH PA 1155

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