Search › Oklahoma › 101Y00000X
Edith Leerdam
NPI 1396012357 · on the registry since 2011 · sole proprietor
Practice
- Address
- 1217 W Knoxville St
Broken Arrow, OK 74012 - Phone
- (918) 258-1857
- Fax
- (918) 258-6987
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-11-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma