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Individual

JEFFREY SWINARSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
(573) 756-6807
Mailing address
670 MASON RIDGE CENTER DR, STE 300, SAINT LOUIS, MO 63141-8573
(573) 756-6751
(573) 756-6807

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2002002155
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
208344309
MO
Enumeration date
08/23/2006
Last updated
02/28/2021
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