Individual
AUDIE GRANVILLE SWINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28870 SOUTH DEWEY BARTLETT AVE, HENRYETTA, OK 74437
(918) 652-2513
(918) 652-7884
Mailing address
P.O. BOX 339, HENRYETTA, OK 74437-0339
(918) 652-2513
(918) 652-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15117
OK
Other
Enumeration date
06/13/2006
Last updated
03/25/2008
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