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Last Update: Friday, May 17, 2024 2:58 PM CDT
Next Update: Friday, May 17, 2024 4:30 PM CDT
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CLARK, JEFFERY ALLEN
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| Practice Address: |
157 E 3800 N
PROVO UT 84604
Address last updated on 5/12/2008 |
| Phone #: |
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| Fax #: |
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| County: |
NOT OKLAHOMA |
| License: |
21019 |
| Dated: |
3/10/1999 |
| Expires: |
3/1/2000 |
| License Type: |
Medical Doctor |
| Specialty: |
Anesthesiology
Pain Management (Anesthesiology) |
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| Status: |
Inactive |
| Status Class: |
Expired License |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Tx Tech Univ Hlth Sci Ctr Sch Of Med, Lubbock Tx 79430 |
| Graduated: |
5 /
1989 |
| CME Year: |
2001 |
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
Contact licensee |
| Medicaid: |
Contact licensee |
| Medicare: |
Contact licensee |
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| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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