Geoffrey N Swanson Md Pa

NPI 1447449640 - Physician Assistant - 363AM0700X

NPI Details
NPI 1447449640
Enumeration Date 10/24/2007
Last Updated 10/24/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GEOFFREY N GEOFFREY
Position OWNER
Phone (208) 288-2255
Fax (208) 288-1535
Practice Location
2321 E GALA ST
SUITE 2
MERIDIAN ID, 83642-7692, US
Phone (208) 288-2255
Fax (208) 288-1535
Business Location
2321 E GALA ST
SUITE 2
MERIDIAN ID, 83642-6351, US
Phone (208) 288-2255
Fax (208) 288-1535
Toxanomy
Taxonomy Code 363AM0700X
License State Idaho
License Number M6536
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According to our database, Geoffrey N Swanson Md Pa NPI is 1447449640, taxonomy code is 363AM0700X and license number is M6536, license state is located at Idaho. Geoffrey N Swanson Md Pa physically located at 2321 E Gala St, Meridian ID, 83642-7692. NPI Number 1033115704 has the healthcare provider type.

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1447449640 NPI number is provided on an as is basis without warranty of any kind. 1447449640 is maintained by the National Plan & Provider Enumeration System. The contents of Geoffrey N Swanson Md Pa are for informational purposes only.