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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, May 8, 2024 4:47 AM CDT
Next Update: Wednesday, May 8, 2024 12:00 PM CDT

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JACKSON, NEIL DAVID
Practice Address: 5708 NW 132ND ST
OKLAHOMA CITY OK 73142

Address last updated on 5/3/2024
Phone #: (405) 949-3011
Fax #:
County: OKLAHOMA
License: 33165
Dated: 7/1/2017
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Radiology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 6 / 2016
CME Year: 2025
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: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
5708 NW 132ND ST
OKLAHOMA CITY OK 73142

Phone #: (405) 949-3011
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
STEVEN RUSSELL O'DELL PA 1321

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