Individual
DR. JONATHAN SAMUEL SWADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-7940
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 932-7940
(816) 932-7957
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2014008802
MO
207L00000X
Anesthesiology Physician
4445
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014008802
LICENSE
MO
Enumeration date
06/02/2009
Last updated
07/25/2014
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