Individual
LYNN SWAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 NW PLATTE RD, RIVERSIDE, MO 64150-9601
(816) 472-0400
Mailing address
1805 NW PLATTE RD, RIVERSIDE, MO 64150-9601
(816) 472-0400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2014043323
MO
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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