Individual
RANDAL W SWENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 S 700 E, STE 10, SLC, UT 84107-2180
(801) 268-4141
(801) 268-4141
Mailing address
4000 S 700 E, STE 10, SLC, UT 84107-2180
(801) 268-4141
(801) 268-4141
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
172807-1205
UT
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
172807-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870354540001
—
UT
Enumeration date
03/22/2006
Last updated
09/11/2025
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