| Dr. John C. Leatherman Pllc | |
|
400 Wyandotte Pl Ramona OK 74061-3678 | |
| (918) 536-1024 | |
| (918) 536-4003 |
| Full Name | Dr. John C. Leatherman Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 Wyandotte Pl, Ramona, Oklahoma |
| Authorized Official Name and Position | John C Leatherman (CEO) |
| Authorized Official Contact | 9188762238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. John C. Leatherman Pllc Po Box 420 Ramona OK 74061-0420 Ph: (918) 536-1024 | Dr. John C. Leatherman Pllc 400 Wyandotte Pl Ramona OK 74061-3678 Ph: (918) 536-1024 |
| NPI Number | 1033742283 |
|---|---|
| Provider Enumeration Date | 02/17/2020 |
| Last Update Date | 02/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033742283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Caney Valley Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Wyandotte, Ramona, OK 74061 Phone: 918-536-1024 Fax: 918-536-2203 |