Individual
STACEY SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(717) 533-5984
Mailing address
717 W OLYMPIC BLVD, APT. 1808, LOS ANGELES, CA 90015-1497
(717) 533-5984
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
A112191
CA
Other
Enumeration date
05/14/2007
Last updated
06/02/2011
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