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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 1, 2024 5:08 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT

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CANNON, JAY PAUL
Practice Address: 1915 NORTH STILES AVENUE
OKLAHOMA CITY OK 73105

Address last updated on 4/27/2021
Phone #: (405) 522-5767
Fax #:
County: OKLAHOMA
License: 9490
Dated: 6/30/1971
Expires: 4/23/2022
License Type: Medical Doctor
Specialty: General Surgery
Status: Inactive
Status Class: Deceased
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: / 1970
CME Year: 2022
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:
New Patients: No
Medicaid: No
Medicare: No
   
HMO/PPO: Aetna HMO
BlueLincs HMO
CCN Managed Care
Champ VA
CIGNA HMO
CommunityCare HMO, Inc
CommunityCare Senior HMO
Great West Healthcare
Guidestar Health Systems
Health Smart Preferred Care (HSPC)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Secure Horizons HMO
United Healthcare HMO
Hospital Privileges: None listed
Locations: Hours: Languages:
1915 NORTH STILES AVENUE
OKLAHOMA CITY OK 73105

Phone #: (405) 522-5767
Fax #:

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