Individual
DR. REX MICHAEL SWANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-5438
Mailing address
6924 EDITH BLVD NE, ALBUQUERQUE, NM 87113-1114
(505) 341-5911
(505) 345-4531
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
526
NM
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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