SMITH, JODI ELIZABETH - Licensee Information

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Last Update: Saturday, November 23, 2024 3:48 AM CST
Next Update: Saturday, November 23, 2024 12:00 PM CST

SMITH, JODI ELIZABETH

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:	SPINE SURGERY ASSCIATES PLLC 14100 PARKWAY COMMONS DR STE 200 OKLAHOMA CITY OK 73134 Address last updated on 3/11/2024
Phone #:	(405) 242-4345
Fax #:
County:	OKLAHOMA
License:	4843
Dated:	7/25/2022
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:
SPINE SURGERY ASSCIATES PLLC 14100 PARKWAY COMMONS DR STE 200 OKLAHOMA CITY OK 73134 Phone #: (405) 242-4345 Fax #:

Hospital Privileges:

None listed

Name:	Type:	License Number:
Primary Supervisor(s):
FADI FAYSAL NASR	MD	22413
JAMES MICHAEL ODOR	MD	16903

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