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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114969144 NPPES
New York MEDICAID 03076684
New York MEDICAID 100003180B
New York Other 920007163

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