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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Monday, April 29, 2024 11:28 AM CDT
Next Update: Monday, April 29, 2024 4:30 PM CDT

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JOHNSON, JEREMY JON
Practice Address: 1200 EVERETT DR.
SUITE 2320
OKLAHOMA CITY OK 73104

Address last updated on 6/19/2023
Phone #: (405) 271-5922
Fax #:
County: OKLAHOMA
License: 26424
Dated: 7/1/2009
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: General Surgery
Pediatric Surgery (Surgery)
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 / 2008
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 SURGERY
AMERICAN BOARD OF SURGERY (Surgery specific) - Pediatric Surgery
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1200 EVERETT DR.
SUITE 2320
OKLAHOMA CITY OK 73104

Phone #: (405) 271-5922
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SHANNON MICHELLE JACOBY PA 1998
JULIE MARIE REDINGTON PA 1399
PATRICIANN MICHAEL TATE PA 1744
ANGELA MARIE WROBLESKI PA 1400

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