| Swetnam Cosmetic Surgery, Pllc | |
|
1695 E Rainforest Rd Ste 3 Fayetteville AR 72703-5385 | |
| (479) 966-4174 | |
| (479) 301-2516 |
| Full Name | Swetnam Cosmetic Surgery, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1695 E Rainforest Rd Ste 3, Fayetteville, Arkansas |
| Authorized Official Name and Position | Char Wells (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4799664174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swetnam Cosmetic Surgery, Pllc 1695 E Rainforest Rd Ste 3 Fayetteville AR 72703-5385 Ph: (479) 966-4174 | Swetnam Cosmetic Surgery, Pllc 1695 E Rainforest Rd Ste 3 Fayetteville AR 72703-5385 Ph: (479) 966-4174 |
| NPI Number | 1477033728 |
|---|---|
| Provider Enumeration Date | 08/16/2018 |
| Last Update Date | 08/16/2018 |
| Medicare PECOS PAC ID | 0648522250 |
|---|---|
| Medicare Enrollment ID | O20181010000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477033728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Arkansas) | Primary |
| Provider Name | Jeffrey A Swetnam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326022534 PECOS PAC ID: 3375447295 Enrollment ID: I20150804004805 |
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