Individual
DR. RONALD LUKE REBENITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 NW EXPRESSWAY, SUITE 335, OKLAHOMA CITY, OK 73132-1579
(405) 733-2020
Mailing address
329 NE 3RD ST APT 204, OKLAHOMA CITY, OK 73104-4080
(701) 471-0796
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
04-36398
KS
207W00000X
Ophthalmology Physician
Primary
31188
OK
207W00000X
Ophthalmology Physician
PT 13527
ND
Other
Enumeration date
10/13/2009
Last updated
11/25/2016
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