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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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CLAUNCH, JERE D       
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: PRAIRIE GARDENS MEDICAL
12301 N WESTERN AVE
SUITE 101
OKLAHOMA CITY OK 73114

Address last updated on 3/29/2024
Phone #: (405) 962-8123
Fax #: (405) 509-8168
County: OKLAHOMA
License: 1432
Dated: 5/5/2005
Expires: 3/31/2025
Temp. Ltr. Issued: 3/4/2005
Temp. Ltr. Expires: 5/7/2005
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
2/3/2012 License Reinstated
11/3/2011 Suspension, License
9/13/2011 Complaint Citation
Board Filings and/or Orders:
11/03/2011
08/19/2011
08/19/2011
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
PRAIRIE GARDENS MEDICAL
12301 N WESTERN AVE
SUITE 101
OKLAHOMA CITY OK 73114

Phone #: (405) 962-8123
Fax #: (405) 509-8168

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
STEVEN ALAN DRABEK MD 15209
JOHN W NELSON MD 24875
Lan-Uyen Nguyen DO 7404
JOEL SCOTT TUPPER MD 17397

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