Individual
PETER EBELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 STANTON L YOUNG BLVD STE 6300, OKLAHOMA CITY, OK 73104
(405) 271-5963
Mailing address
800 STANTON L YOUNG BLVD STE 6300, OKLAHOMA CITY, OK 73104-5018
(405) 271-5963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34893
OK
390200000X
Student in an Organized Health Care Education/Training Program
BP10056081
TX
Other
Enumeration date
04/02/2016
Last updated
06/03/2019
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