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Oklahoma Board of Medical Licensure and Supervision

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Next Update: Thursday, April 25, 2024 4:30 PM CDT

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JACOBSEN, MATTHEW WARREN
Practice Address: GREAT PLAINS FAMILY PRACTICE
3500 NW 56TH #100
OKLAHOMA CITY OK 73112

Address last updated on 9/17/2003
Phone #: (405) 951-2858
Fax #:
County: OKLAHOMA
License: 22908
Dated: 7/17/2003
Expires: 7/1/2005
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Ne Coll Of Med, Omaha Ne 68198
Graduated: 5 / 2002
CME Year: 2006
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: None listed
Hospital Privileges: Lindsay Municipal Hospital
Lindsay, OK
Locations: Hours: Languages:
GREAT PLAINS FAMILY PRACTICE
3500 NW 56TH #100
OKLAHOMA CITY OK 73112

Phone #: (405) 951-2858
Fax #:
Mon: 8:30AM - 5:00PM
Tue: 8:30AM - 5:00PM
Wed: 8:30AM - 5:00PM
Thu: 8:30AM - 5:00PM
Fri: 8:30AM - 5:00PM
Sat: Closed
Sun: Closed
4028 NW 29
Oklahoma City, OK 73107

Phone #:
Fax #:

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