Individual
TREVOR DANE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
166 E 1700 N, MAPLETON, UT 84664-3801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125.081513
IL
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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