Organization
FACE AND BODY MEDICAL AESTHTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY ALLEN SWETNAM MD (MEDICAL DIRECTOR)
(918) 298-8080
Entity
Organization
Contact information
Practice address
9906 RIVERSIDE PKWY, TULSA, OK 74137-7409
(918) 298-8080
(918) 528-3841
Mailing address
9906 RIVERSIDE PKWY, TULSA, OK 74137-7409
(918) 298-8080
(918) 528-3841
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25365
OK
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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