# ROBERT J SWAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730328808
- **Authorized official:** DR. ROBERT JOHN SWAN MD (PHYSICIAN)
- **Authorized official phone:** (636) 332-3390

## Contact information

- **Practice address:** 600 MEDICAL DR, STE 214, WENTZVILLE, MO 63385-3426
- **Practice address phone:** (636) 332-3390
- **Practice address fax:** (636) 327-4554
- **Mailing address:** 600 MEDICAL DR, STE 214, WENTZVILLE, MO 63385-3426
- **Mailing address phone:** (636) 332-3390
- **Mailing address fax:** (636) 327-4554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2009
- **Last updated:** 07/26/2011