Individual
JEFFERY S SCHWERDTFEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1084 NICKERSON ST, WAYNOKA, OK 73860-1245
(580) 824-2291
(580) 824-0429
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 548-1367
(580) 548-1583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA396
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100848070A
—
OK
Enumeration date
08/03/2005
Last updated
04/05/2017
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