Individual
GREGORY GENE SWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
MO RO116
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25652018
BLUE CROSS/BLUE SHIELD
MO
Enumeration date
01/29/2007
Last updated
08/26/2008
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