Search Results
Last Update: Thursday, May 9, 2024 1:43 PM CDT
Next Update: Friday, May 10, 2024 4:30 PM CDT
Return to Search Licensees page
ANDERSON, JACK KATSUMI View on
|
Practice Address: |
TEAM HEALTH
1323 W 6TH AVE
STILLWATER OK 74074
Address last updated on 1/30/2024 |
Phone #: |
(405) 372-1480 |
Fax #: |
|
County: |
PAYNE |
License: |
24265 |
Dated: |
4/19/2005 |
Expires: |
4/1/2021 |
License Type: |
Medical Doctor |
Specialty: |
Emergency Medicine |
|
Status: |
Inactive |
Status Class: |
Expired License |
Restricted to: |
|
Registered to Dispense: |
YES |
Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
Graduated: |
6 /
2002 |
CME Year: |
2023 |
|
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 EMERGENCY MEDICINE |
New Patients: |
Contact licensee |
Medicaid: |
Contact licensee |
Medicare: |
Contact licensee |
|
|
HMO/PPO: |
None listed |
Hospital Privileges: |
Hospital(s) Not In Oklahoma
,
OU Medical Center
Oklahoma City, OK
St. Anthony Shawnee Hospital (fmly Unity Health Ctr) (SSM Health)
Shawnee, OK
St. John - Owasso
Owasso, OK
St. John - Sapulpa
Sapulpa, OK
V.A. Medical Center-OKC
Oklahoma City, OK
|
|
|
|
Return to Search Licensees page