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Oklahoma Board of Medical Licensure and Supervision

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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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PERDUE, JEDIDIAH JAMES       
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: 4509 INTEGRIS PARKWAY
SUITE 300
EDMOND OK 73034

Address last updated on 3/8/2024
Phone #: (405) 657-3382
Fax #: (405) 948-2745
County: OKLAHOMA
License: 26278
Dated: 5/22/2008
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Addiction Medicine
Psychiatry
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 / 2004
CME Year: 2026
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 PREVENTIVE MEDICINE - Addiction Medicine
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: INTEGRIS Edmond
Edmond, OK
Locations: Hours: Languages:
4509 INTEGRIS PARKWAY
SUITE 300
EDMOND OK 73034

Phone #: (405) 657-3382
Fax #: (405) 948-2745
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Arcada Trails INTEGRIS Center for Addiction Recovery
4851 Integris Parkway
Edmond, OK 73034

Phone #: (405) 216-2500
Fax #: (11) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NAOMI GORE APRN 87565

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