Individual
MR. BRIAN DOUGLAS SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
226 E US HIGHWAY 54, CAMDENTON, MO 65020-6819
(573) 346-3700
(573) 346-3307
Mailing address
226 E US HIGHWAY 54, CAMDENTON, MO 65020-6819
(573) 346-3700
(573) 346-3307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2004036186
MO
Other
Enumeration date
07/25/2006
Last updated
03/17/2018
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