Individual
MR. LEONARDO RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1705 E 19TH ST, STE 302, TULSA, OK 74104-5405
(918) 748-7692
(918) 748-7539
Mailing address
1515 N HARVARD AVE, STE E, TULSA, OK 74115-4957
(918) 832-6049
(918) 832-6055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1733
OK
Other
Enumeration date
06/17/2006
Last updated
01/18/2011
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