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Individual

DR. PAUL RICHARD SWOBODA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9101 MONTGOMERY BLVD., NE, MONTGOMERY EAST FAMILY MEDICINE, ALBUQUERQUE, NM 87111
(505) 275-4288
(505) 275-4203
Mailing address
PO BOX 26028, CLINICIAN SERVICES / CREDENTIALING, ALBUQUERQUE, NM 87125-6028
(505) 262-7963
(505) 232-1627

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
356087-1205
UT
207Q00000X
Family Medicine Physician
79259
MA
207Q00000X
Family Medicine Physician
Primary
MD2019-0734
NM

Other

Enumeration date
03/13/2007
Last updated
10/03/2019
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