Premise Health of Oklahoma Medical, P.c

NPI #1538767363 in Del City, Oklahoma

Provider Information

NPI Number
1538767363
Entity Type
Organization
Organization Name
Premise Health of Oklahoma Medical, P.c
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 14, 2020
Last Updated
Oct 13, 2022

Practice Location

Address
5460 MAIN ST STE 102
ZIP Code
73115-5525
Phone
(615) 468-3188

Authorized Official

Name
DR. JONATHAN LEIZMAN, MD
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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