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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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PHILLIPS, JASON MICHAEL       
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:
EDWARD HENSON APRN 4702
NEIFA NAYOR APRN 1658

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