Individual
MR. JEFFREY SCOTT SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1308 8TH ST STE 1, RUPERT, ID 83350
(208) 436-4322
(208) 436-1312
Mailing address
1224 8TH STREET, RUPERT, ID 83350-1532
(208) 434-8236
(208) 436-1312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9766
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78193
BLX
ID
05
—
M0027582
—
ID
05
—
M8073867
—
ID
Enumeration date
10/06/2005
Last updated
06/05/2025
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