| Leavens Clinic | |
|
1800 W 1st St Suite 101 Elk City OK 73644-3133 | |
| (580) 225-1088 | |
| (580) 225-1474 |
| Full Name | Leavens Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1800 W 1st St, Elk City, Oklahoma |
| Authorized Official Name and Position | Roy L Ikner (CEO) |
| Authorized Official Contact | 5802252511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leavens Clinic 1800 W 1st St Suite 101 Elk City OK 73644-3133 Ph: (580) 225-1088 | Leavens Clinic 1800 W 1st St Suite 101 Elk City OK 73644-3133 Ph: (580) 225-1088 |
| NPI Number | 1578793774 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 03/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578793774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2210 (Oklahoma) | Primary |
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