Individual
JASON BRYCE SWALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
430 CERITOS TRL, MARTINSBURG, WV 25403-0400
(304) 267-6249
(304) 267-6248
Mailing address
2500 FOUNDATION WAY, MARTINSBURG, WV 25401-9000
(304) 264-9202
(304) 264-9042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2952
WV
207Q00000X
Family Medicine Physician
Primary
2952
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962745950
—
WV
Enumeration date
03/28/2013
Last updated
01/27/2021
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