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Individual
GARY SWANSON
Active
Individual
GARY SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD011234
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3170903
—
TN
01
—
4098059
BLUE CROSS
TN
01
—
P0020390
RRMCR
TN
Enumeration date
06/02/2006
Last updated
01/07/2008
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