| Doctor Name: | MRS. LESLIE ANN EDDLEMAN |
| NPI Number: | 1063848653 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 5484 |
| Business Practice Address: | 1011 Honor Heights Dr. Muskogee, OK - 74401 |
| Business Phone Number: | 9185773000 |
| Business Fax Number: | |
| Mailing Address: | 1011 Honor Heights Dr, MUSKOGEE |
| State: | OK |
| Postal Code: | 74401 |
| Phone Number: | 9185773000 |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2013 |
| NPI Last Update Date: | 03/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5484 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |