PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C

ARDMORE, OK
NPI1740540327
Entity TypeOrganization
Authorized ContactJONATHAN LEIZMAN
President
216-479-9063
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2012-05-17
Last Update Date2022-10-13
Business Address
PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C
1105 MICHELIN RD
ARDMORE, OK 73401-1085
Phone number: 580-224-8750
Mailing Address
PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C
5500 MARYLAND WAY
BRENTWOOD, TN 37027-4948
Phone number: 580-224-8750
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