Individual
MR. DAVID ZIEBARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 NW 5TH ST STE D, MOORE, OK 73160-3947
(405) 208-4469
Mailing address
620 NW 5TH ST STE D, MOORE, OK 73160-3947
(405) 208-4469
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8903
OK
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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