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Individual

LEAH UPTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
11511 E 31ST ST, TULSA, OK 74146-1908
(918) 400-7002
Mailing address
715 W MAIN ST SUITE S, JENKS, OK 74037-3553
(918) 299-9447
(918) 299-5325

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5453
OK

Other

Enumeration date
04/24/2012
Last updated
12/09/2024
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