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NPI Code Detail

MEDICARE: TRINA D SWYGERT MD

MEDICARE: TRINA D SWYGERT MD
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
1207R00000XInternal Medicine Physician18437OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902831803
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINA D SWYGERT MD
Provider Business Mailing Address
First Line : PO BOX 269064
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73126-9064
Country : US
Telephone Number : 405-231-3857
Fax Number : 405-272-7977
Provider Business Practice Location Address
First Line : 6908 E RENO AVE
Second Line : SUITE 102
City : MIDWEST CITY
State : OK
Zip : 73110-2128
Country : US
Telephone Number : 405-737-7000
Fax Number : 405-869-1245
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 10/20/2020

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Directions to “ TRINA D SWYGERT MD” Practice Location

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