Individual
TRAVIS JAY SWIFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
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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