Individual
LESLIE BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4227 MACYS PL, MOORE, OK 73160-2879
(405) 201-0361
Mailing address
4227 MACYS PL, MOORE, OK 73160-2879
(405) 201-0361
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
272
OK
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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