Organization
ROBERT L SWEETEN MD INC
Active
Other names
Sweeten Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA RENE SWEETEN (MANAGER)
(417) 540-6798
Entity
Organization
Contact information
Practice address
1355 ROCKETDYNE RD, NEOSHO, MO 64850-3106
(417) 451-7425
(417) 451-7455
Mailing address
PO BOX 4725, JOPLIN, MO 64803-4725
(417) 451-7425
(417) 451-7455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12749
OK
207R00000X
Internal Medicine Physician
Primary
2007032918
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015453
MEDICARE PTAN
MO
Enumeration date
06/25/2007
Last updated
04/25/2017
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