Individual
JOHN C LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 WYANDOTTE PL, RAMONA, OK 74061-3678
(918) 287-1310
(918) 287-1727
Mailing address
PO BOX 420, RAMONA, OK 74061-0420
(918) 536-1024
(918) 536-2203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17649
OK
207R00000X
Internal Medicine Physician
17649
OK
Other
Enumeration date
06/16/2006
Last updated
03/06/2020
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