Individual
BEN W. SWINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8710 MANCHESTER RD, SAINT LOUIS, MO 63144
(314) 961-3570
(314) 961-6450
Mailing address
8710 MANCHESTER RD, SAINT LOUIS, MO 63144-2724
(314) 961-3570
(314) 961-6450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
115255
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208746800
—
MO
Enumeration date
03/09/2007
Last updated
12/18/2018
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