Individual
WILLIAM IRVING SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, LD, FAND
Contact information
Practice address
76 C TOMAS H. ROMERO RD, RANCHOS DE TAOS, NM 87557
(575) 737-0255
Mailing address
1335 PASEO DEL PUEBLO SUR # 171, TAOS, NM 87571-5972
(443) 895-8007
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-0904
NM
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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