| Leslie Clinic Inc. | |
|
Rr 1 Box A1 Vici OK 73859-9106 | |
| (580) 995-3200 | |
| (580) 995-3202 |
| Full Name | Leslie Clinic Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | Rr 1 Box A1, Vici, Oklahoma |
| Authorized Official Name and Position | Porter Bass Leslie (MEDICAL DOCTOR/PRACTICE OWNER) |
| Authorized Official Contact | 5809953200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Clinic Inc. Po Box 45 Vici OK 73859-0045 Ph: (580) 995-3200 | Leslie Clinic Inc. Rr 1 Box A1 Vici OK 73859-9106 Ph: (580) 995-3200 |
| NPI Number | 1447490453 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447490453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10616 (Oklahoma) | Primary |
Vici Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W. Broadway, Vici, OK 73859 Phone: 580-995-3004 Fax: 580-995-3006 | |
Vici Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W Broadway, Vici, OK 73859 Phone: 580-995-3004 Fax: 580-995-3006 | |
Vici Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 W. Broadway, Vici, OK 73859 Phone: 580-995-3004 Fax: 580-922-3006 |