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Individual

DR. ERIC SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD FACS FRCSC

Contact information

Practice address
11413 ASH, LEAWOOD, KS 66211
(913) 663-1030
(913) 663-1032
Mailing address
11413 ASH, LEAWOOD, KS 66211
(913) 663-1030
(913) 663-1032

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0423027
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000968
MEDICARE B
KS
01
15267076
BCBS OF KC
Enumeration date
01/03/2007
Last updated
10/03/2011
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