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MCGILLICUDDY, JEFFREY       
Practice Address: 1011 14TH AVENUE NW
ARDMORE OK 73401

Address last updated on 10/15/2018
Phone #:
Fax #:
County: CARTER
License: 34093
Dated: 9/13/2018
Expires: 9/1/2019
License Type: Medical Doctor
Specialty: Orthopedic Surgery
Sports Medicine (Orthopedic Surgery)
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: Stanford Univ Sch Of Med, Stanford CA 94305
Graduated: 6 / 1993
CME Year: 2021
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 ORTHOPAEDIC SURGERY
AMERICAN BOARD OF ORTHOPAEDIC SURGERY - Orthopaedic Sports Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
1011 14TH AVENUE NW
ARDMORE OK 73401

Phone #:
Fax #:
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