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Individual

JAMES M SWAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10210 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4509
(480) 882-7460
Mailing address
10210 N 92ND ST, SUITE 101, SCOTTSDALE, AZ 85258-4509
(480) 882-7460

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
45873
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020043146
RAILROAD MEDICARE
AZ
05
380065100
MN
05
465163
AZ
01
86080015085259A506
TRIWEST
AZ
01
P00646042
MEDICARE, RAILROAD
MN
Enumeration date
12/07/2005
Last updated
07/31/2013
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