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Individual

TRAVIS JAY SWIFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1490 E FOREMASTER DR STE 200, SAINT GEORGE, UT 84790-4496
(435) 628-1641
Mailing address
1490 E FOREMASTER DR STE 200, SAINT GEORGE, UT 84790-4496
(435) 628-1641

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0010-03061
NC
363AS0400X
Surgical Physician Assistant
5153
AZ
363AS0400X
Surgical Physician Assistant
Primary
5419926-1206
UT

Other

Enumeration date
08/19/2011
Last updated
01/25/2018
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