Organization
GEOFFREY N SWANSON MD PA
Active
Organization
GEOFFREY N SWANSON MD PA
Active
Other names
Ada Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY N SWANSON ND (OWNER)
(208) 288-2255
Entity
Organization
Contact information
Practice address
2321 E GALA ST, SUITE 2, MERIDIAN, ID 83642-7692
(208) 288-2255
(208) 288-1535
Mailing address
2321 E GALA ST, SUITE 2, MERIDIAN, ID 83642-6351
(208) 288-2255
(208) 288-1535
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
M6536
ID
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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