Individual
DR. DEVON PATRICK SWOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 CHILDRENS PL CB 8116, SAINT LOUIS, MO 63110
(314) 454-6148
(314) 454-4633
Mailing address
1 CHILDRENS PL CB 8116, SAINT LOUIS, MO 63110
(314) 454-6148
(314) 454-4633
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021012583
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
OP61530316
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2018
Last updated
07/24/2024
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