Individual
BETH LEE LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
603 NE 2ND ST, ROWLAND FLATT CLINIC, ANTLERS, OK 74523-2636
(580) 298-3351
(580) 298-3803
Mailing address
603 NE 2ND ST, ANTLERS, OK 74523-2636
(580) 298-3351
(580) 298-3803
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2795
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100124300B
—
OK
Enumeration date
10/31/2005
Last updated
04/17/2012
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