Individual
DR. LEROY O. JESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3100 S ELM PL STE A, BROKEN ARROW, OK 74012-7950
(918) 455-7777
(918) 455-8105
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0125
(918) 502-8210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1832
OK
Other
Enumeration date
05/23/2005
Last updated
09/15/2022
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