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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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COLLIER, JACK LINCOLN       
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: OKLAHOMA HEART HOSPITAL PHYSICIANS
4050 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Address last updated on 3/14/2024
Phone #: (405) 608-3800
Fax #:
County: OKLAHOMA
License: 24868
Dated: 4/26/2006
Expires: 4/1/2025
License Type: Medical Doctor
Specialty: Clinical Cardiac Electrophysiology
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 / 1999
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 INTERNAL MEDICINE - Clinical Cardiac Electrophysiology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Oklahoma Heart Hospital - North Campus (4050 W. Memorial Rd)
Oklahoma City, OK
Locations: Hours: Languages:
OKLAHOMA HEART HOSPITAL PHYSICIANS
4050 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Phone #: (405) 608-3800
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JEFFREY O'CONNOR BURKE PA 1862

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