Individual
ELLIOTT R SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
809 GLENRIDGE DR, EDMOND, OK 73013-1826
(405) 751-7676
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 751-7676
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2728
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100122690A
—
OK
Enumeration date
12/19/2005
Last updated
10/24/2014
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