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Dr. Jay E Leemaster, MD
Specialist in Moore, Oklahoma
NPI 1689679813

Jay E Leemaster is a Specialist based in Moore, OK. Jay E Leemaster practices in Moore, OK and has the professional credentials of MD. The NPI Number for Jay E Leemaster is 1689679813 and holds a License No. 13242 (Oklahoma).

The current practice location address for Jay E Leemaster is 2909 S Telephone Rd, Moore, OK and can be reached out via phone at 405-799-7510 and via fax at 405-799-4742. You can also correspond with Jay E Leemaster through the mailing address at 2909 S TELEPHONE RD, MOORE, OK - 73160-2937 (mailing address contact number: 405-799-7510).

Location: 2909 S Telephone Rd, Moore, OK, 73160-2937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689679813
Provider Name
Jay E Leemaster
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2909 S Telephone Rd, Moore, OK, 73160-2937
Phone Number
405-799-7510
Fax Number
405-799-4742
Provider Enumeration Date
06/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
731434343001 01 OK BXBS
100123420A 05 OK
731434343 01 OK TAX ID#
institution
Provider Business Practice Location Address Details
Address
2909 S Telephone Rd
City
Moore
State
Oklahoma
Zip
73160-2937
Phone Number
405-799-7510
Fax Number
405-799-4742
person
Provider Business Mailing Address Details
Address
2909 S Telephone Rd
City
Moore
State
Oklahoma
Zip
73160-2937
Phone Number
405-799-7510
Fax Number
405-799-4742
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
13242 (Oklahoma)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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