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NPI Code Detail

MEDICARE: SUSAN LEE SWOPE MD

MEDICARE: SUSAN LEE SWOPE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician115598MO

General Provider Information

NPI Number : 1346276094
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN LEE SWOPE MD
Provider Business Mailing Address
First Line : 5701 DELMAR BLVD.
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63112-2617
Country : US
Telephone Number : 314-367-7848
Fax Number : 314-367-2985
Provider Business Practice Location Address
First Line : 5701 DELMAR BLVD.
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63112-2617
Country : US
Telephone Number : 314-367-7848
Fax Number : 314-367-2985
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 11/29/2018

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Directions to “ SUSAN LEE SWOPE MD” Practice Location

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