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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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JOHNSON, JACK STEPHEN       
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: 8000 E. MAPLEWOOD AVE
BUILDING 5
STE 120
GREENWOOD VILLAGE CO 80111

Address last updated on 6/1/2024
Phone #: (303) 785-4700
Fax #:
County: NOT OKLAHOMA
License: 16915
Dated: 7/1/1989
Expires: 7/1/2025
Training Issued: 6/29/1988
Training Expires: 9/30/1989
License Type: Medical Doctor
Specialty: Anesthesiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 1988
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 ANESTHESIOLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Hospital(s) Not In Oklahoma
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Locations: Hours: Languages:
8000 E. MAPLEWOOD AVE
BUILDING 5
STE 120
GREENWOOD VILLAGE CO 80111

Phone #: (303) 785-4700
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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