Individual
DR. STEPHANIE L. SWORDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
332 S MAIN AVE, REPUBLIC, MO 65738-1861
(417) 732-5050
(417) 831-0155
Mailing address
332 S MAIN AVE, REPUBLIC, MO 65738-1861
(417) 732-5050
(417) 831-0155
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001025586
MO
208000000X
Pediatrics Physician
2001025586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152448001
—
AR
05
—
205426901
—
MO
01
—
99188
AR BLUE SHIELD #
MO
Enumeration date
02/16/2007
Last updated
08/13/2020
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