Individual
DR. MARIO DE JESUS LEYVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LAWTON INDIAN HOSPITAL, 1515 LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 353-0350
(580) 353-2859
Mailing address
LAWTON INDIAN HOSPITAL, 1515 LAWRIE TATUM RD, LAWTON, OK 73507-3099
(580) 353-0350
(580) 353-2859
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7835
PR
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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