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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, May 2, 2024 5:08 PM CDT
Next Update: Friday, May 3, 2024 2:50 AM CDT

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WEAVER, JACK EUGENE
Practice Address: 209 S 36TH ST
MUSKOGEE OK 74401

Address last updated on 4/5/2024
Phone #: (918) 682-7717
Fax #: (918) 682-9434
County: MUSKOGEE
License: 19721
Dated: 5/29/1996
Expires: 5/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Sports Medicine (Orthopedic Surgery)
Pain Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1993
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 FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
BlueChoice PPO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
HealthChoice
Preferred Community Choice
SoonerCare HMO
SoonerCare PPO
Hospital Privileges: Northeastern Health System (formerly Tahlequah City Hospital)
Tahlequah, OK
St. Francis Hospital - Muskogee (frmly Muskogee Reg. Med. Ctr./Eastar)
Muskogee, OK
Locations: Hours: Languages:
209 S 36TH ST
MUSKOGEE OK 74401

Phone #: (918) 682-7717
Fax #: (918) 682-9434
Mon: 8:00AM - 5:00PM
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1500 E. Downing
Tahlequah, OK 74464

Phone #: (918) 682-7717
Fax #: (4) 201-
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104 Lone Oak Circle
Ft. Gibson, OK 74434

Phone #: (918) 682-7717
Fax #: (11) 202-
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Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
JULIA BRAKEFIELD-PINO APRN 5501
MONICA HOOG APRN 68289

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