Individual
STEVEN BRUCE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
715 N WEBER ST STE 100, COLORADO SPRINGS, CO 80903-1092
(719) 636-3555
(719) 667-4230
Mailing address
2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
(719) 538-2950
(719) 538-2999
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
172297
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0004685-CRNA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21128545
—
CO
01
—
447466ZL1P
MEDICARE - CO
CO
Enumeration date
05/20/2006
Last updated
03/17/2018
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