Individual
DR. JEFFREY ALLEN SWETNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3623 JOHNSON MILL BLVD STE 203, SPRINGDALE, AR 72762-6413
(479) 966-4174
(479) 301-5334
Mailing address
3623 JOHNSON MILL BLVD STE 203, SPRINGDALE, AR 72762-6413
(479) 966-4174
(479) 301-2516
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25365
OK
208600000X
Surgery Physician
Primary
E-9062
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200218280A
—
OK
05
—
200462050T
—
OK
Enumeration date
12/01/2005
Last updated
10/30/2023
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