Individual
MR. RICHARD T SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 RENAISSANCE BLVD, STE 100, EDMOND, OK 73013-3041
(405) 285-7500
(405) 285-7501
Mailing address
2109 RIVERSIDE DR, NORMAN, OK 73072-6614
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
14281
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100106950B
—
OK
Enumeration date
04/27/2006
Last updated
04/18/2011
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