Individual
DR. EZRA MICHAEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
825 NE 10TH ST # 3C, OKLAHOMA CITY, OK 73104-5417
(572) 244-5239
Mailing address
800 STANTON L YOUNG BLVD # 2400, OKLAHOMA CITY, OK 73104-5018
(405) 271-8470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
06/22/2020
Last updated
05/05/2026
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