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Individual

DR. JOHN SCOTT SWANGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1229 E SEMINOLE ST, SPRINGFIELD, MO 65804-2227
(417) 820-5610
(417) 820-5589
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
100372
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013904150
MO
05
203320700
MO
01
MD100372
STATE LICENSE
MO
Enumeration date
10/04/2005
Last updated
04/08/2013
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