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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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RIDENOUR, JARED VAUGHN       
Practice Address: UTICA PARK CLINIC
8803 S 101ST E AVE
#100
TULSA OK 74133
Address last updated on 9/9/2024
Phone #: (918) 574-0220
Fax #:
County: TULSA
License: 3021
Dated: 2/14/2019
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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.
Locations: Hours: Languages:
UTICA PARK CLINIC
8803 S 101ST E AVE
#100
TULSA OK 74133
Phone #: (918) 574-0220
Fax #:

Hospital Privileges:

Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Hillcrest Medical Center
Tulsa, OK
Tulsa Spine & Specialty Hospital
Tulsa, OK
Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
RICHARD DRAKE DO 4066
DANIEL MARTIN HARWELL MD 32880
MICHAEL THAMBUSWAMY MD 31253

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