Individual
RILEY SWONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1338 PHAY AVE BLDG D, CANON CITY, CO 81212-2326
(719) 285-2700
Mailing address
102 GRIBBLE DR, CANON CITY, CO 81212-9795
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0996615
CO
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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