Joel D Swanbom CRNA

NPI 1366502684 - Registered Nurse - 163W00000X

NPI Details
NPI 1366502684
Gender Male
Enumeration Date 12/08/2006
Last Updated 07/30/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
FRESNO & R STREET
FRESNO CA, 93721, US
Phone (559) 459-6000
Fax
Business Location
PO BOX 7096
STOCKTON CA, 95267-0096, US
Phone (209) 956-7725
Fax (209) 956-7733
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number RN568428
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According to our database, Mr. Joel D Swanbom CRNA NPI is 1366502684, taxonomy code is 163W00000X and license number is RN568428, license state is located at California. Joel D Swanbom CRNA physically located at Fresno & R Street, Fresno CA, 93721. NPI Number Joel D Swanbom CRNA has the Individual type.

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1366502684 NPI number is provided on an as is basis without warranty of any kind. 1366502684 is maintained by the National Plan & Provider Enumeration System. The contents of Joel D Swanbom CRNA are for informational purposes only.