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Individual

DR. JOHN WILLIAM SWEETENHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2201 INWOOD RD # NC2.130, DALLAS, TX 75235
(241) 645-4673
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8586760-1205
UT
207RH0003X
Hematology & Oncology Physician
35087138
OH
207RH0003X
Hematology & Oncology Physician
Primary
46720
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2614442
OH
Enumeration date
05/01/2006
Last updated
04/19/2019
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