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Last Update: Wednesday, October 20, 2021 3:19 AM CDT
Next Update: Wednesday, October 20, 2021 12:00 PM CDT

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BOUCHER, JEREMY MICHAEL
Practice Address: JEREMY M BOUCHER MD PLLC
301 SOUTH DUCK STREET
SUITE 1
STILLWATER OK 74074

Address last updated on 9/24/2021
Phone #: (405) 367-5638
Fax #:
County: PAYNE
License: 23387
Dated: 8/18/2004
Expires: 8/1/2022
License Type: Medical Doctor
Specialty: Anesthesiology
Addiction 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 / 2003
CME Year: 2022
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
8/19/2016 Probation Ended
1/16/2014 Modification Order Motion to modify terms of probation and for approval of participation in fellowship program.
7/25/2013 Modification Order Probation modified to allow extended work hours.
Pending and/or past disciplinary action(s) on file. Contact Board for more details.
Board Filings and/or Orders:
01/24/2014
08/02/2013
Past board filing(s) and/or order(s) on file. Contact Board for more details.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF ANESTHESIOLOGY
AMERICAN BOARD OF PREVENTIVE MEDICINE - Addiction Medicine
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: Foundation Surgery Center
Oklahoma City, OK
Locations: Hours: Languages:
JEREMY M BOUCHER MD PLLC
301 SOUTH DUCK STREET
SUITE 1
STILLWATER OK 74074

Phone #: (405) 367-5638
Fax #:
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6608 N. Western Ave.
Ste. 220
Oklahoma City, OK 73116

Phone #: (800) 919-6583
Fax #: (9) 202-
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1930 NW Ferris
Ste. 10
Lawton, OK 73507

Phone #: (405) 367-5638
Fax #: (9) 202-
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