Individual
MS. THERESA J. SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2730 PIERCE ST STE 300, SIOUX CITY, IA 51104-3765
(712) 224-8677
Mailing address
2730 PIERCE ST STE 300, SIOUX CITY, IA 51104-3765
(712) 244-8677
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001620
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P002085832
RAILROAD MEDICARE
IA
Enumeration date
07/07/2005
Last updated
10/02/2019
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