Premise Health of Oklahoma Medical, P.c

NPI #1740540327 in Ardmore, Oklahoma

Provider Information

NPI Number
1740540327
Entity Type
Organization
Organization Name
Premise Health of Oklahoma Medical, P.c
Primary Specialty
Clinic/Center
Enumeration Date
May 17, 2012
Last Updated
Oct 13, 2022

Practice Location

Address
1105 MICHELIN RD
ZIP Code
73401-1085
Phone
(580) 224-8750

Authorized Official

Name
JONATHAN LEIZMAN, M.D.
Title
PRESIDENT
Phone
(216) 479-9063

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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