Individual
EDGAR L LECLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4509 INTEGRIS PKWY STE 300, EDMOND, OK 73034-8696
(405) 657-3704
(405) 657-3892
Mailing address
3001 QUAIL SPRINGS PKWY FL 5, OKLAHOMA CITY, OK 73134-2640
(405) 657-3704
(405) 657-3892
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
24774
OK
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
24774
OK
Other
Enumeration date
02/09/2007
Last updated
07/24/2023
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