Individual
CRAIG SWANN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
122 PINNELL ST, RIPLEY, WV 25271-9101
(304) 372-3506
Mailing address
PO BOX 171, RIPLEY, WV 25271-0171
(304) 372-3506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1524
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054582000
—
WV
Enumeration date
04/10/2006
Last updated
07/08/2007
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