MOORE, JEREMY ADAM - Licensee Information

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Last Update: Sunday, April 28, 2024 4:03 AM CDT
Next Update: Sunday, April 28, 2024 12:00 PM CDT

MOORE, JEREMY ADAM

Practice Address:	3650 WEST ROCK CREEK ROAD SUITE 110 A NORMAN OK 73072 Address last updated on 4/3/2024
Phone #:	(405) 364-2666
Fax #:	(405) 364-9627
County:	CLEVELAND
License:	25527
Dated:	5/1/2007
Expires:	5/1/2025
License Type:	Medical Doctor
Specialty:	Otolaryngology

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:	6 / 2002
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:	ABPS - Surgery AMERICAN BOARD OF OTOLARYNGOLOGY
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	Community Hospital - OKC Oklahoma City, OK Moore Medical Center Moore, OK Norman Regional Hospital Norman, OK

Locations:	Hours:	Languages:
3650 WEST ROCK CREEK ROAD SUITE 110 A NORMAN OK 73072 Phone #: (405) 364-2666 Fax #: (405) 364-9627	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 3:00PM Sat: Sun:
2002 12th ave NW Ardmore, OK 73410 Phone #: (580) 226-8646 Fax #: (1) 202-	Mon: 8:15AM - 5:00PM Tue: 8:15AM - 5:00PM Wed: 8:15AM - 5:00PM Thu: 8:15AM - 5:00PM Fri: 8:15AM - 3:00PM Sat: Sun:	Spanish

Name:	Type:	License Number:
Primary Supervisees(s):
NICOLE RACHELLE ELKINS	PA	1788
JEFFREY ALAN FREDERICK	PA	936