| Premise Health - Del City | |
|
5460 Main St Ste 102 Del City OK 73115-5525 | |
| (615) 468-3188 | |
| (405) 610-3431 |
| Full Name | Premise Health - Del City |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5460 Main St Ste 102, Del City, Oklahoma |
| Authorized Official Name and Position | Jonathan Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health - Del City 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health - Del City 5460 Main St Ste 102 Del City OK 73115-5525 Ph: (615) 468-3188 |
| NPI Number | 1538767363 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538767363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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