Individual
DR. LESLIE J REBTOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
(918) 696-3879
Mailing address
RR 6 BOX 840, STILWELL, OK 74960-8703
(918) 696-8800
(918) 696-3879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3878
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222010B
—
OK
Enumeration date
11/29/2005
Last updated
09/16/2013
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