Organization
CROSSWAY MEDICAL CLINIC W MEMORIAL PLLC
Active
Organization
CROSSWAY MEDICAL CLINIC W MEMORIAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG SWIM (CEO)
(405) 513-7257
Entity
Organization
Contact information
Practice address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
(405) 418-5400
Mailing address
609 W MEMORIAL RD, OKLAHOMA CITY, OK 73114-2006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/06/2014
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