ANDAZOLA, JIMMY FLOYD - Licensee Information

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Last Update: Sunday, December 22, 2024 6:44 PM CST
Next Update: Monday, December 23, 2024 2:50 AM CST

ANDAZOLA, JIMMY FLOYD

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:	SAINT FRANCIS HEALTH SYSTEM 6600 YALE AVE TULSA OK 74136-3347 Address last updated on 8/30/2024
Phone #:
Fax #:
County:	OKLAHOMA
License:	4526
Dated:	2/9/2021
Expires:	3/31/2025
Temp. Ltr. Issued:	1/8/2021
Temp. Ltr. Expires:	3/11/2021
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:
SAINT FRANCIS HEALTH SYSTEM 6600 YALE AVE TULSA OK 74136-3347 Phone #: Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
ALISA MICHELLE CROSS	MD	31186
NAZIHA IQBAL MALIK	MD	32476
PAMELA ROSE ROBERTS	MD	24788

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