Susan Swope, Md | |
520 Center St 103 Fenton MO 63026-4157 | |
(636) 343-6960 | |
Not Available |
Full Name | Susan Swope, Md |
---|---|
Speciality | Internal Medicine |
Location | 520 Center St, Fenton, Missouri |
Authorized Official Name and Position | Susan Swope (OWNER) |
Authorized Official Contact | 6363436960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Susan Swope, Md 520 Center St 103 Fenton MO 63026-4157 Ph: () - | Susan Swope, Md 520 Center St 103 Fenton MO 63026-4157 Ph: (636) 343-6960 |
NPI Number | 1376579037 |
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Provider Enumeration Date | 06/24/2006 |
Last Update Date | 07/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376579037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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