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NPI Code Detail

MEDICARE: DR. COURTNEY LEIGH SWARTZ DO

MEDICARE:  DR. COURTNEY LEIGH SWARTZ  DO
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
1208000000XPediatrics Physician4691OK

General Provider Information

NPI Number : 1710185640
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COURTNEY LEIGH SWARTZ DO
Provider Business Mailing Address
First Line : 5300 N INDEPENDENCE AVE STE 280
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-5555
Country : US
Telephone Number : 405-702-9400
Fax Number : 405-702-9437
Provider Business Practice Location Address
First Line : 4801 SE 15TH ST STE 300
Second Line :
City : DEL CITY
State : OK
Zip : 73115-3918
Country : US
Telephone Number : 405-702-9400
Fax Number : 405-702-9437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2007
Last Update Date : 07/09/2019

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Directions to “ DR. COURTNEY LEIGH SWARTZ DO” Practice Location

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