MEDICARE: SETH H SWITZER MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20407	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	522044731001	OTHER	OK	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1447275508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SETH H SWITZER MD PC

Provider Business Mailing Address
First Line	:	3201 N VAN BUREN ST
Second Line	:	SUITE 400
City	:	ENID
State	:	OK
Zip	:	73703-1800
Country	:	US
Telephone Number	:	580-237-1877
Fax Number	:	580-237-2872

Provider Business Practice Location Address
First Line	:	3201 N VAN BUREN ST
Second Line	:	SUITE 400
City	:	ENID
State	:	OK
Zip	:	73703-1800
Country	:	US
Telephone Number	:	580-237-1877
Fax Number	:	580-237-2872

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SETH H. SWITZER
Credential	:	M.D.
Telephone Number	:	580-237-1877

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	10/23/2007

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Directions to “SETH H SWITZER MD PC ” Practice Location

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