person
Mark C Leu, PA-C
Medical Physician Assistant in Ada, Oklahoma
NPI 1376538744

Mark C Leu is a Medical Physician Assistant based in Ada, OK and is specialized in Medical. Mark C Leu practices in Ada, OK and has the professional credentials of PA-C. The NPI Number for Mark C Leu is 1376538744 and holds a License No. PA00722 (Oklahoma).

The current practice location address for Mark C Leu is 1414 Arlington St, Ada, OK and can be reached out via phone at 580-332-0112 and via fax at 580-332-1005.

Location: 1414 Arlington St, Ada, OK, 74820-2643
person
Provider Profile Details
NPI Number
1376538744
Provider Name
Mark C Leu
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1414 Arlington St, Ada, OK, 74820-2643
Phone Number
580-332-0112
Fax Number
580-332-1005
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100131200A 05 OK
institution
Provider Business Practice Location Address Details
Address
1414 Arlington St
City
Ada
State
Zip
74820-2643
Phone Number
580-332-0112
Fax Number
580-332-1005
person
Provider Business Mailing Address Details
Address
1414 Arlington St
City
Ada
State
Zip
74820-2643
Phone Number
580-332-0112
Fax Number
580-332-1005
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00722 (Oklahoma)
Definition
Definition to come...
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