Provider Demographics
NPI:1730127838
Name:ENID CLINIC INC
Entity Type:Organization
Organization Name:ENID CLINIC INC
Other - Org Name:NORTHWEST PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-234-7070
Mailing Address - Street 1:PO BOX 3494
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73702-3494
Mailing Address - Country:US
Mailing Address - Phone:580-234-7070
Mailing Address - Fax:580-234-9544
Practice Address - Street 1:3201 N VAN BUREN ST STE 300
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-1800
Practice Address - Country:US
Practice Address - Phone:580-234-7070
Practice Address - Fax:580-234-9544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty