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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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RUZICKA, JACOB AUSTIN
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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.
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| Practice Address: |
10501 E 91ST ST
TULSA OK 74133
Address last updated on 4/14/2024 |
| Phone #: |
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| Fax #: |
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| County: |
TULSA |
| License: |
38921 |
| Dated: |
5/5/2022 |
| Expires: |
5/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Emergency Medicine |
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
OU Tulsa School of Community Medicine (Schusterman Center) |
| Graduated: |
5 /
2019 |
| CME Year: |
2025 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
St. Francis Hospital - Broken Arrow
Broken Arrow, OK
St. Francis Hospital - SOUTH
Tulsa, OK
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