Provider First Line Business Practice Location Address:
SOUTHWEST PEDIATRICS, PLLC
Provider Second Line Business Practice Location Address:
937 S.W. 89, SUITE A
Provider Business Practice Location Address City Name:
OKLAHOMA CITY
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-631-2379
Provider Business Practice Location Address Fax Number:
405-631-3377
Provider Enumeration Date:
10/25/2006