Individual
DR. ROBERT GORDON SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6420 CLAYTON RD., ST. MARY'S HEALTH CENTER, ST. LOUIS, MO 63117-1850
(314) 768-8267
Mailing address
500 MEDICAL PARK, WENTZVILLE, MO 63385
(636) 327-1201
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
101788
MO
2085R0001X
Radiation Oncology Physician
21117
OK
2085R0001X
Radiation Oncology Physician
251157
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03076684
—
NY
05
—
100003180B
—
OK
01
—
920007163
RR MEDICARE
OK
Enumeration date
06/12/2006
Last updated
02/20/2025
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