Individual
MR. MATTHEW A SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 N SAINT FRANCIS ST, STE 130, WICHITA, KS 67214-2878
(316) 264-3505
(316) 264-0908
Mailing address
1100 N SAINT FRANCIS ST, STE 130, WICHITA, KS 67214-2878
(316) 264-3505
(316) 264-0908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01319
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200616940A
—
KS
Enumeration date
08/18/2009
Last updated
02/10/2014
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