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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Saturday, April 27, 2024 1:44 PM CDT
Next Update: Saturday, April 27, 2024 4:30 PM CDT

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RIDENOUR, JARED VAUGHN
Practice Address: OKLAHOMA SPINE & BRAIN INSTITUTE
6802 S OLYMPIA AVE
#300
TULSA OK 74132

Address last updated on 2/1/2024
Phone #: (918) 749-0762
Fax #:
County: TULSA
License: 3021
Dated: 2/14/2019
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
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.
Locations: Hours: Languages:
OKLAHOMA SPINE & BRAIN INSTITUTE
6802 S OLYMPIA AVE
#300
TULSA OK 74132

Phone #: (918) 749-0762
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
DANIEL MARTIN HARWELL MD 32880
MICHAEL THAMBUSWAMY MD 31253

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