Provider Demographics
NPI:1750471306
Name:SWITZER, EVE (MD)
Entity Type:Individual
Prefix:DR
First Name:EVE
Middle Name:
Last Name:SWITZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK20454208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100018080AMedicaid