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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, May 3, 2024 4:08 PM CDT
Next Update: Saturday, May 4, 2024 2:50 AM CDT

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MOAD, JEREMY BRANDON
Practice Address: 105 S. BRYANT AVE
STE 104
EDMOND OK 73034

Address last updated on 6/2/2023
Phone #: (405) 715-2022
Fax #: (405) 715-2905
County: OKLAHOMA
License: 25707
Dated: 7/1/2009
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Pulmonary Disease
Critical Care Medicine (Internal 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: 5 / 2007
CME Year: 2024
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 INTERNAL MEDICINE
AMERICAN BOARD OF INTERNAL MEDICINE - Critical Care Medicine
AMERICAN BOARD OF INTERNAL MEDICINE - Pulmonary Disease
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: OU Medical Center - Edmond (frmrly Edmond Medical Center)
Edmond, OK
Locations: Hours: Languages:
105 S. BRYANT AVE
STE 104
EDMOND OK 73034

Phone #: (405) 715-2022
Fax #: (405) 715-2905
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
GREGORY CLINTON DAILEY PA 1117
TIFFANY RUTH LENHART PA 2983

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