Organization
T M SWINGER & D V MCKILLIP, PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE L HURLEY (OFFICE MANAGER)
57333318601
Entity
Organization
Contact information
Practice address
101 E. 10TH ST., SUITE A, CARUTHERSVILLE, MO 63830
(573) 333-1860
(573) 333-0099
Mailing address
PO BOX 1137, CARUTHERSVILLE, MO 63830-1137
(573) 333-1860
(573) 333-0099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279400001
NORIDIAN ADMINISTRATIVE SERVICES
MO
01
—
410009927
RAILROAD MEDICARE
MO
Enumeration date
10/10/2007
Last updated
07/10/2013
Update your record
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