SearchOklahoma364SH1100X

Gwen Leake

NPI 1407689862 · on the registry since 2024

Practice

Address
425 N Brown St
Sapulpa, OK 74066
Phone
(918) 367-8316

Registry record

Primary taxonomy
364SH1100X
364SH1100X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-08-21

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