# PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Employees' Healthcare Center of Stillwater
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427112648
- **Authorized official:** JONATHAN LEIZMAN M.D. (PC OWNER)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 406 E HALL OF FAME AVE, STILLWATER, OK 74075-5428
- **Practice address phone:** (800) 370-1192
- **Practice address fax:** (405) 707-3015
- **Mailing address:** 40 BURTON HILLS BLVD, SUITE 200, NASHVILLE, TN 37215-6155
- **Mailing address phone:** (615) 565-1733
- **Mailing address fax:** (615) 296-0151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 10/13/2022