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Organization

MINA SWOFFORD, M.D. P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MINA D SWOFFORD MD (PHYSICIAN)
(765) 683-3160
Entity
Organization

Contact information

Practice address
2101 JACKSON STR, SUITE 118, ANDERSON, IN 46016-4386
(765) 683-3160
(765) 646-8367
Mailing address
2101 JACKSON STR, SUITE 118, ANDERSON, IN 46016-4386
(765) 683-3160
(765) 646-8367

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01042478
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200806160A
IN
Enumeration date
05/03/2007
Last updated
03/05/2013
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