FREDERICK, JEFFREY ALAN - 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

FREDERICK, JEFFREY ALAN

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:	OKLAHOMA OTOLARYNGOLOGY ASSOCIATES 3650 WEST ROCK CREEK ROAD SUITE #110 NORMAN OK 73072 Address last updated on 3/27/2024
Phone #:	(405) 364-2666
Fax #:	(405) 364-9627
County:	CLEVELAND
License:	936
Dated:	4/1/1999
Expires:	3/31/2025
Temp. Ltr. Issued:	12/10/1998
Temp. Ltr. Expires:	3/31/1999
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:
OKLAHOMA OTOLARYNGOLOGY ASSOCIATES 3650 WEST ROCK CREEK ROAD SUITE #110 NORMAN OK 73072 Phone #: (405) 364-2666 Fax #: (405) 364-9627

Hospital Privileges:

Norman Regional Hospital
Norman, OK

Name:	Type:	License Number:
Primary Supervisor(s):
WAYNE EDWARD BERRYHILL	MD	23401
JEFFREY A BUYTEN	MD	26178
JOSEPH EDWARD LEONARD	MD	8829
JEREMY ADAM MOORE	MD	25527
CHRISTOPHER ALAN PASKOWSKI	MD	21888
BRANDON WADE PIERSON	MD	27797

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