Organization
DR P O SWANSON OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE BLEW OD (PRES)
(641) 684-4695
Entity
Organization
Contact information
Practice address
333 CHURCH, OTTUMWA, IA 52501
(641) 684-4695
(641) 684-7201
Mailing address
333 CHURCH, OTTUMWA, IA 52501
(641) 684-4695
(641) 684-7201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1734
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212365
—
IA
Enumeration date
12/05/2006
Last updated
05/26/2009
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