Individual
AMANDA C LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13727 SE 126TH ST, OKLAHOMA CITY, OK 73165-7601
(405) 514-7636
Mailing address
13727 SE 126TH ST, OKLAHOMA CITY, OK 73165-7601
(405) 514-7636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210730
OK
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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