Individual
RATHNA RAJU-SWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
155 EAST PEARL STREET, SUITE 12, JACKSON, WY 83002
(307) 733-2350
(307) 733-2953
Mailing address
155 EAST PEARL STREET, PO BOX 9696, JACKSON, WY 83002
(307) 733-2350
(307) 733-2953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6864A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120550100
—
WY
Enumeration date
05/12/2006
Last updated
05/19/2008
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