Organization
PREMISE HEALTH OF OKLAHOMA MEDICAL, P.C
Active
Other names
Premise Health - Del City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEIZMAN MD (PRESIDENT)
(216) 479-9063
Entity
Organization
Contact information
Practice address
5460 MAIN ST STE 102, DEL CITY, OK 73115-5525
(615) 468-3188
(405) 610-3431
Mailing address
5500 MARYLAND WAY STE 120, BRENTWOOD, TN 37027-4993
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/13/2022
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