| NPI | 1689907081 |
|---|---|
| Doing Business As | SWANN DERMATOLOGY & ESTHETICS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL H. SWANN Owner 417-888-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MO 2007005538) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MO 26D2031359) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2015-04-03 |