Provider Demographics
NPI:1770593600
Name:LEY, PAUL FRANCIS JR (MD)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:FRANCIS
Last Name:LEY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:215 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PONCA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:74601-4335
Mailing Address - Country:US
Mailing Address - Phone:580-767-1777
Mailing Address - Fax:580-762-2917
Practice Address - Street 1:212 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:OK
Practice Address - Zip Code:74637-3023
Practice Address - Country:US
Practice Address - Phone:918-642-3100
Practice Address - Fax:918-642-5639
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2014-01-09
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Provider Licenses
StateLicense IDTaxonomies
OK10931207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100105730AMedicaid
OK100105730AMedicaid