Leslie Clinic Inc.

NPI #1447490453 in Vici, Oklahoma

Provider Information

NPI Number: 1447490453
Entity Type: Organization
Organization Name: Leslie Clinic Inc.
Primary Specialty: Clinic/Center
Enumeration Date: Mar 3, 2009
Last Updated: Mar 3, 2009

Practice Location

Address: RR 1 BOX A1
City: Vici
State: Oklahoma
ZIP Code: 73859-9106
Phone: (580) 995-3200

Authorized Official

Name: DR. PORTER BASS LESLIE, M.D.
Title: MEDICAL DOCTOR/PRACTICE OWNER
Phone: (580) 995-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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