Individual
JACOB G SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6605 CENTER RD, VALLEY CITY, OH 44280-9748
(330) 483-3135
(330) 483-3135
Mailing address
6605 CENTER RD, VALLEY CITY, OH 44280-9748
(330) 483-3135
(330) 483-3135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008037RX
OH
Other
Enumeration date
01/02/2018
Last updated
04/05/2024
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