Individual
STEPHEN SWEARINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2019014129
MO
2085R0202X
Diagnostic Radiology Physician
Primary
K2807
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125011003
—
TX
01
—
125011004
CIDC
TX
05
—
200071087
—
MO
Enumeration date
08/01/2006
Last updated
06/29/2021
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