Organization
LAKE TAHOE ORTHOPAEDIC INSTITUTE, A WATSON-SWANSON PROFESSIONAL CORP
Active
Other names
Tahoe Orthopedics and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE E SWANSON MD (PRESIDENT)
(775) 783-3065
Entity
Organization
Contact information
Practice address
212 ELKS POINT RD STE 200, ZEPHYR COVE, NV 89448-8001
(775) 589-8950
(775) 588-1299
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NV
207XS0106X
Orthopaedic Hand Surgery Physician
—
NV
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NV
208100000X
Physical Medicine & Rehabilitation Physician
—
NV
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NV
225X00000X
Occupational Therapist
—
NV
363A00000X
Physician Assistant
—
NV
Other
Enumeration date
12/12/2006
Last updated
06/12/2023
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