Organization
SWENSON M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SCOTT SWENSON M.D. (OWNER)
(208) 436-4838
Entity
Organization
Contact information
Practice address
1218 9TH ST STE 4, RUPERT, ID 83350-2207
(208) 436-4838
(208) 436-1561
Mailing address
1218 9TH ST STE 4, RUPERT, ID 83350-2207
(208) 436-4838
(208) 436-1561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9766
ID
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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