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Last Update: Friday, April 26, 2024 4:03 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT
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|
BIRCH, JENNIFER JOY |
| Practice Address: |
THE HOLLOWAY GROUP
6613 N. MERIDIAN AVE.
OKLAHOMA CITY OK 73116
Address last updated on 3/25/2024 |
| Phone #: |
(405) 603-8450 |
| Fax #: |
(405) 603-8455 |
| County: |
OKLAHOMA |
| License: |
1421 |
| Dated: |
4/1/2005 |
| Expires: |
3/31/2025 |
|
Temp.
Ltr.
Issued:
|
1/6/2005 |
|
Temp.
Ltr.
Expires:
|
4/2/2005 |
| License Type: |
Physician Assistant |
| Specialty: |
|
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| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| CME Year: |
2025 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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Hospital Privileges:
St. Anthony Hospital (SSM Health)
Oklahoma City, OK
V.A. Medical Center-OKC
Oklahoma City, OK
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Primary Supervisor(s):
|
| Name: |
Type: |
License Number: |
Full/Part Time: |
|
WILLIS HOLLOWAY JR
|
MD |
15256 |
|
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