Individual provider · Type 1 NPI

Eric Wayne Leach, PA-C

Medical Physician Assistant · Tulsa, OK

NPI number 1962733808 Active

Practice location

5801 E 41st St Ste 900
Tulsa, OK 74135-5631

Fax (918) 743-8552

Mailing address

PO Box 4930
Tulsa, OK 74159-0930

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1871 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1962733808

Eric Wayne Leach, PA-C's National Provider Identifier is 1962733808, issued on Jan 15, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tulsa, OK. The record was last updated on Jul 13, 2022.