Most Relevant Information
Provider Data
NPI Number: | 1003374448 |
Provider Name: | AUSTIN CALEB SWANSON |
Entity Type: | Individual |
Taxonomy Code: | 2255A2300X |
Specialty: | Specialist/Technologist |
License Number: |
Most Important Dates
Enumeration Date: | 03/05/2019 |
Last Updated: | 03/05/2019 |
Provider Practice Location
1971 UNIVERSITY BLVD
LYNCHBURG
VA
245150002
Practice Location Phone/Fax
Phone: | 4349447713 |
Fax: |
Provider Mailing Location
639 FARFIELDS DR
LYNCHBURG
VA
245023905
Provider Mailing Phone/Fax
Phone: | 4349447713 |
Fax: |