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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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ARCHER, JACOB       
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: 14100 PARKWAY COMMONS DRIVE SUITE 100
OKLAHOMA CITY OK 73134-6036

Address last updated on 8/5/2024
Phone #:
Fax #:
County: OKLAHOMA
License: 38587
Dated: 9/1/2021
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Neurological Surgery
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 / 2015
CME Year: 2027
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: Oklahoma Spine Hospital
Oklahoma City, OK
Locations: Hours: Languages:
14100 PARKWAY COMMONS DRIVE SUITE 100
OKLAHOMA CITY OK 73134-6036

Phone #:
Fax #:
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 5:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
KATHERINE ELIZABETH ALLEN PA 2202
CANDICE RAE BREEDEN PA 1512
BEAU JAMES BURTON PA 2526
LEE MAC GERMANY PA 1717
MARIAH MAE HONSE PA 5106
ALEXIS NICOLE PARKS PA 5086
JENNIFER ROBIN PUTNAM PA 2115
TAMMIE D. REGGIO PA 981
ASHLEY MARIE THOMANN PA 1831

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