Individual
JEFFREY T. SWAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2575 PEARL ST., SUITE 300, BOULDER, CO 80302
(303) 449-6666
(303) 449-7023
Mailing address
2575 PEARL ST., SUITE 300, BOULDER, CO 80302
(303) 449-6666
(303) 449-7023
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
34276
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01342765
—
CO
01
—
SW88401
B/C AND B/S PROVIDER ID
CO
Enumeration date
10/20/2006
Last updated
07/22/2014
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