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Individual

GARY LEE SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 POMPADOUR DR, ASHLAND, OR 97520-9398
(541) 482-9496
Mailing address
501 POMPADOUR DR, ASHLAND, OR 97520-9398
(541) 482-9496

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD13562
OR

Other

Enumeration date
01/09/2011
Last updated
01/09/2011
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