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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, December 23, 2024 3:49 AM CST
Next Update: Monday, December 23, 2024 12:00 PM CST

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MOORE, JEFFREY ANDREW       
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: 3130 SW 89TH ST
SUITE 200
OKLAHOMAC CITY OK 73159

Address last updated on 7/25/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 36986
Dated: 8/24/2020
Expires: 8/1/2025
License Type: Medical Doctor
Specialty: Orthopedic Surgery of the Spine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Rutgers New Jersey Med Sch, Newark NJ 07103 (frmly UMDNJ)
Graduated: 5 / 2014
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:
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Hospital for Special Surgery (OneCore Health) - OKC
Oklahoma City, OK
Surgical Hospital of Oklahoma
Oklahoma City, OK
Locations: Hours: Languages:
3130 SW 89TH ST
SUITE 200
OKLAHOMAC CITY OK 73159

Phone #:
Fax #:
Mon: 8:00AM - 4:00PM
Tue: 8:00AM - 4:00PM
Wed: 8:00AM - 4:00PM
Thu: 8:00AM - 4:00PM
Fri: 8:00AM - 4:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
BEAU JAMES BURTON PA 2526
BRANDON SCOTT FUNK PA 1465
WHITNEY MARVIN PA 2447
AMEE J STAPLETON PA 5098

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