Individual
DR. ROBERT A SWENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1075 N CURTIS ROAD, STE 300, BOISE, ID 83706
(208) 367-3330
(208) 367-3331
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-3330
(208) 367-3331
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P-225
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-225
MEDICAL LICENSE
ID
Enumeration date
04/15/2010
Last updated
03/26/2014
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