Mark C Leu is a Medical in Ada, Oklahoma. Mark C Leu practices all healthcare services and medical treatments related to Medical. The NPI Number for Mark C Leu is 1376538744. The last update date is 2010-08-11.
Mark C Leu's current location address is 1414 Arlington St, Ada, Oklahoma. You can contact this provider via phone number 5803320112 and fax number 5803321005. The mailing address for Mark C Leu is 1414 Arlington St, Ada, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark C Leu |
|---|---|
| Address | 1414 Arlington St, Ada, Oklahoma |
| Phone Number | 5803320112 |
| Fax Number | 5803321005 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1376538744 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2010-08-11 |
Provider Mailing Address Detail
| Address | 1414 Arlington St |
|---|---|
| City | Ada |
| State | Oklahoma (OK) |
| Post Code | 748202643 |
| Phone Number | 5803320112 |
| Fax Number | 5803321005 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA00722 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100131200A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark C Leu by the Centers for Medicare & Medicaid Services?
The Mark C Leu has been assigned the NPI (National Provider Identifier) 1376538744 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mark C Leu is physically located?
The Mark C Leu is physically situated at the following address: 1414 Arlington St, Ada, OK, 748202643.
What is Mark C Leu's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark C Leu is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376538744 to Mark C Leu?
The Centers for Medicare & Medicaid Services originally issued the 1376538744 to Mark C Leu on 2005-09-13.
When was the information related to Mark C Leu most recently updated or refreshed?
The details pertaining to the Mark C Leu, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-08-11.