NPI 1427112648

Premise Health of Oklahoma Medical, P.C

Organisation Family Medicine Physician Stillwater, OK

Practice location

Address: 406 E Hall of Fame Ave, Stillwater, OK 74075-5428
Phone: (800) 370-1192
Fax: (405) 707-3015
Mailing address: 40 Burton Hills Blvd Suite 200, Nashville, TN 37215-6155

Authorised official

Name: Jonathan Leizman
Title: PC Owner
Phone: (216) 479-9063

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Oklahoma →

Registry record

NPI: 1427112648
Entity type: Organization
NPI issued: 21 Dec 2006
Record last updated: 13 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.