Individual
NICHOLAS MICHAEL LEPPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2201 SILVER LAKE RD, BARTLESVILLE, OK 74006-6233
(580) 660-5292
Mailing address
2201 SILVER LAKE RD, BARTLESVILLE, OK 74006-6233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
909
OK
Other
Enumeration date
11/03/2017
Last updated
11/03/2017
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