Individual
MR. ALLEN J LEIMENSTOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 S MONROE ST, ENID, OK 73701-7211
(580) 233-9310
(580) 548-1489
Mailing address
600 S MONROE ST, ENID, OK 73701-7211
(580) 233-2300
(580) 548-1489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200037520A
—
OK
Enumeration date
11/04/2005
Last updated
02/12/2018
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