Individual
DR. LESLIE MITCHELL CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
1425 E 71ST ST, TULSA, OK 74136-5038
(918) 446-3171
(918) 446-5938
Mailing address
1425 E 71ST ST, TULSA, OK 74136-5038
(918) 446-3171
(918) 446-5938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2516
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200120640A
—
OK
Enumeration date
09/18/2007
Last updated
10/17/2023
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