Individual
MARK LEWIS SWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 128TH ST SE, EVERETT, WA 98208-6338
(425) 337-5100
(425) 745-3933
Mailing address
210 128TH ST SE, EVERETT, WA 98208-6338
(425) 337-5100
(425) 745-3933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19726
WA
207R00000X
Internal Medicine Physician
19726
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080007381
RAILROAD MEDICARE
WA
05
—
1017318
—
WA
01
—
R23889
BLUE SHIELD
WA
Enumeration date
10/04/2006
Last updated
01/20/2009
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