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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 3:47 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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MARTENS, JEFFREY DONOVAN       
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: COMMUNITY HOSPITAL
3100 SW 89TH ST.
OKLAHOMA CITY OK 73159

Address last updated on 3/18/2024
Phone #: (405) 486-6555
Fax #: (405) 602-8391
County: OKLAHOMA
License: 704
Dated: 1/30/1995
Expires: 3/31/2025
Temp. Ltr. Issued: 8/4/1994
Temp. Ltr. Expires: 3/25/1995
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:
COMMUNITY HOSPITAL
3100 SW 89TH ST.
OKLAHOMA CITY OK 73159

Phone #: (405) 486-6555
Fax #: (405) 602-8391

Hospital Privileges:

Community Hospital - OKC
Oklahoma City, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
EDWARD RAYMOND ARMSTRONG MD 17271
DATHAN DUANE JAY MD 23512
SANG LEE DO 3864
JASON MATTHEW LEINEN MD 25158
LARRY LOVELACE DO 2438
JOSH ERIC MCWILLIAMS MD 23717
MARK GRADY MILES MD 18554
STANLEY CHRISTOPHER SHADID MD 29130
RIAZ AHMED SIRAJUDDIN MD 22726
KAREN KAY SWISHER MD 24053
CHAD GLENN THOMPSON MD 24966

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