Individual
LUKE SWANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
476 E MIDVALLEY RD, ENOCH, UT 84721-7603
(435) 263-0355
(435) 263-0123
Mailing address
476 E MIDVALLEY RD, ENOCH, UT 84721-7603
(435) 263-0355
(435) 263-0123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114875
NCCPA NUMBER
GA
Enumeration date
10/14/2014
Last updated
10/05/2021
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