Individual
MRS. LESLIE ANN EDDLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1328 S YORK ST, MUSKOGEE, OK 74403-7650
(918) 683-0470
(918) 683-0475
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(918) 772-3390
(918) 772-2244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5484
OK
208D00000X
General Practice Physician
Primary
5484
OK
Other
Enumeration date
09/16/2013
Last updated
05/17/2021
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