Individual
ANNIE RAY DEWITT SWAN
Active
Individual
ANNIE RAY DEWITT SWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1163545
LA
363A00000X
Physician Assistant
PA.0006934
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0006934
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000200876
—
CO
Enumeration date
04/03/2019
Last updated
07/01/2026
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