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NPI Code Detail

MEDICARE: DR. STEVEN MICHAEL LEITCH M.D.

MEDICARE: DR. STEVEN MICHAEL LEITCH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician22860OK

General Provider Information

NPI Number : 1639156565
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN MICHAEL LEITCH M.D.
Provider Business Mailing Address
First Line : 1309 S 157TH PLZ APT 106
Second Line :
City : OMAHA
State : NE
Zip : 68130-2567
Country : US
Telephone Number : 405-227-4144
Fax Number :
Provider Business Practice Location Address
First Line : 4401 S WESTERN AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73109-3413
Country : US
Telephone Number : 405-713-7403
Fax Number : 405-713-2794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2005
Last Update Date : 02/26/2021

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