Healthcare Provider Details

I. General information

NPI: 1497599658
Provider Name (Legal Business Name): VICTORIA E LEONARD D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2024
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 HEALTHPLEX PKWY
NORMAN OK
73072-9749
US

IV. Provider business mailing address

PO BOX 1308
NORMAN OK
73070-1308
US

V. Phone/Fax

Practice location:
  • Phone: 405-515-1000
  • Fax:
Mailing address:
  • Phone: 405-307-1090
  • Fax: 405-307-1076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number1129R
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: