Individual
DR. JORDAN NYALL LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3214 E RACE AVE, SEARCY, AR 72143-4810
(435) 421-1359
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7413
OK
Other
Enumeration date
04/20/2018
Last updated
06/09/2023
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