Individual
BENJAMIN JON SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3932
(202) 715-5428
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-3932
(202) 476-2368
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO210001678
DC
390200000X
Student in an Organized Health Care Education/Training Program
DO210001678
DC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2019
Last updated
06/25/2024
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