Individual
ASHLEY LINN LEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1401
Mailing address
4802 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
(918) 392-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2190
OK
Other
Enumeration date
01/14/2013
Last updated
07/10/2013
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