Individual
MARC A SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 KNOTBREAK RD, SALEM, VA 24153-5414
(540) 444-5670
Mailing address
3426 W RIDGE RD SW, ROANOKE, VA 24014-4224
(540) 494-9378
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101046486
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101046486
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010376301
—
VA
Enumeration date
07/18/2006
Last updated
05/16/2024
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