Individual
DENNIS P SWENNUMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
5901 N LIDGERWOOD ST, SPOKANE, WA 99208-5095
(509) 444-8888
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60547459
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012415
—
WA
Enumeration date
04/18/2018
Last updated
05/26/2021
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