HERMRECK, JASON DEAN - Licensee Information

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Last Update: Saturday, December 21, 2024 3:49 AM CST
Next Update: Saturday, December 21, 2024 12:00 PM CST

HERMRECK, JASON DEAN

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:	SOUTHWEST ORTHOPAEDIC & RECONSTRUCTIVE SPECIALISTS 8100 S. WALKER AVE. BLDG. A OKLAHOMA CITY OK 73139-9475 Address last updated on 4/26/2024
Phone #:	(405) 632-4468
Fax #:	(405) 632-0436
County:	OKLAHOMA
License:	4798
Dated:	6/1/2022
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:
SOUTHWEST ORTHOPAEDIC & RECONSTRUCTIVE SPECIALISTS 8100 S. WALKER AVE. BLDG. A OKLAHOMA CITY OK 73139-9475 Phone #: (405) 632-4468 Fax #: (405) 632-0436

Hospital Privileges:

INTEGRIS Southwest Medical Center
Oklahoma City, OK
Oklahoma Center for Orthopaedic & Multi-Specialty Surgery
Oklahoma City, OK

Name:	Type:	License Number:
Primary Supervisor(s):
KRISTOPHER RYAN AVANT	DO	4499
BRADLEY REDDICK	DO	4326
DEREK L WEST	DO	4001

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