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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, April 18, 2024 6:52 PM CDT
Next Update: Friday, April 19, 2024 2:50 AM CDT

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VANNATTA, JERRY BURR
Practice Address: 2413 NW 55TH TER
OKLAHOMA CITY OK 73112

Address last updated on 5/27/2023
Phone #: (405) 570-2916 x2
Fax #:
County: OKLAHOMA
License: 10842
Dated: 6/30/1976
Expires: 6/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1975
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.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
New Patients: No
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna PPO
BlueChoice PPO
HealthChoice
Hospital Privileges: None listed
Locations: Hours: Languages:
2413 NW 55TH TER
OKLAHOMA CITY OK 73112

Phone #: (405) 570-2916 x2
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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