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LEAH GENEVA BAXTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
7723 E 91ST ST, TULSA, OK 74133-6053
(918) 895-7808
(918) 895-7807
Mailing address
6528 E 101ST ST, PMB 431 SUITE D1, TULSA, OK 74133-6724
(918) 895-7808
(918) 895-7807

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4052
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200062360A
OK
Enumeration date
02/16/2006
Last updated
11/17/2011
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