Organization
EBENEZER HEALTHCARE SERVICES,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA AGNES E SMITH ARNP,BC (CEO)
(405) 378-2119
Entity
Organization
Contact information
Practice address
10444 GREENBRIAR PLACE, SUITE C, OKLAHOMA CITY, OK 73159-7660
(405) 378-2119
(405) 759-7022
Mailing address
10444 GREENBRIAR PLACE,, SUITE C, OKLAHOMA CITY, OK 73159-7660
(405) 378-2119
(405) 759-7022
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/14/2007
Last updated
05/25/2010
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