Individual
MR. MARK RICHARD SWINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSB
Contact information
Practice address
8 ARROYO BONITO, SANDIA PARK, NM 87047-9397
(505) 250-7027
Mailing address
8 ARROYO BONITO, SANDIA PARK, NM 87047-9397
(505) 250-7027
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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