Organization
RIVERS EDGE MENTAL HEALTH ASSOCIATES, P.C.
Active
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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