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Organization

RIVERS EDGE MENTAL HEALTH ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LELAND WAYNE DENNIS M.D. (OWNER/PRACTITIONER)
(580) 225-8899
Entity
Organization

Contact information

Practice address
1800 W 1ST ST, SUITE 104, ELK CITY, OK 73644-3133
(580) 225-8899
(580) 225-1306
Mailing address
1800 W 1ST ST, SUITE 104, ELK CITY, OK 73644-3133
(580) 225-8899
(580) 225-1306

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17272
OK

Other

Enumeration date
07/20/2009
Last updated
08/14/2009
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