Individual
MARK J SWOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
911 BYPASS RD BLDG A, PIKEVILLE, KY 41501-1689
(606) 430-2202
(606) 218-7502
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 430-2202
(606) 218-7502
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
02625
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65935009
—
KY
Enumeration date
07/12/2005
Last updated
06/07/2022
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