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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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PHILLIPS, JASON MICHAEL       
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: 13280 EVENING CREEK DRIVE S
SUITE 225
SAN DIEGO CA 92128

Address last updated on 2/15/2023
Phone #: (888) 299-5088
Fax #:
County: NOT OKLAHOMA
License: 35465
Dated: 3/24/2020
Expires: 3/1/2024
License Type: Medical Doctor
Specialty: Urology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of CA, Irvine, Ca Coll Of Med, Irvine CA 92697
Graduated: 6 / 2008
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 UROLOGY
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
13280 EVENING CREEK DRIVE S
SUITE 225
SAN DIEGO CA 92128

Phone #: (888) 299-5088
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
NEIFA NAYOR APRN 1658

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