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Individual

JOHN L SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2825 8TH AVE N, BILLINGS, MT 59101-0909
(406) 238-2500
Mailing address
PO BOX 35100, BILLINGS, MT 59107-5100
(406) 238-2500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
256
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000900993
BCBS PIN
MT
05
4300959
MT
Enumeration date
08/19/2005
Last updated
05/19/2008
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