Swanson, Robert Gordon
Swanson, Robert Gordon is an individual health care provider with primary practice located at 6420 Clayton Rd. St. Mary'S Health Center, St. Louis MO 63117-1850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Swanson, Robert Gordon can be contacted via phone (314) 768-8267.Contact Information
Primary practice address
6420 Clayton Rd. St. Mary'S Health Center
St. Louis MO 63117-1850
Phone: (314) 768-8267
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 21117 | Oklahoma |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 251157 | New York |
Profile Details
NPI number | 1114969144 |
---|---|
LBN Legal business name | Swanson, Robert Gordon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 12th, 2006 |
Last updated | Aug 22nd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114969144 | NPPES |
New York | MEDICAID | 03076684 | |
New York | MEDICAID | 100003180B | |
New York | Other | 920007163 |
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