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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Sunday, November 17, 2024 3:48 AM CST
Next Update: Sunday, November 17, 2024 12:00 PM CST

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MOORE, JEREMY ADAM       
Practice Address: 3650 WEST ROCK CREEK ROAD
SUITE 110 A
NORMAN OK 73072

Address last updated on 4/3/2024
Phone #: (405) 364-2666
Fax #: (405) 364-9627
County: CLEVELAND
License: 25527
Dated: 5/1/2007
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 2002
CME Year: 2025
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: ABPS - Surgery
AMERICAN BOARD OF OTOLARYNGOLOGY
National Board of Physicians and Surgeons - Otolaryngology
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Community Hospital - OKC
Oklahoma City, OK
Moore Medical Center
Moore, OK
Norman Regional Hospital
Norman, OK
Locations: Hours: Languages:
3650 WEST ROCK CREEK ROAD
SUITE 110 A
NORMAN OK 73072

Phone #: (405) 364-2666
Fax #: (405) 364-9627
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 3:00PM
Sat:
Sun:
2002 12th ave NW
Ardmore, OK 73410

Phone #: (580) 226-8646
Fax #: (1) 202-
Mon: 8:15AM - 5:00PM
Tue: 8:15AM - 5:00PM
Wed: 8:15AM - 5:00PM
Thu: 8:15AM - 5:00PM
Fri: 8:15AM - 3:00PM
Sat:
Sun:
Spanish
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NICOLE RACHELLE ELKINS PA 1788
JEFFREY ALAN FREDERICK PA 936

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