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Organization

JOHN R. SWENSON DPM, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ROBERT SWENSON DPM (SOLE PROPRIETOR)
(719) 473-6677
Entity
Organization

Contact information

Practice address
2287 ROCKING HORSE CT, COLORADO SPRINGS, CO 80921-6401
(719) 473-6677
(719) 473-9219
Mailing address
2287 ROCKING HORSE CT, COLORADO SPRINGS, CO 80921-6401
(719) 473-6677
(719) 473-9219

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
474
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01004746
CO
Enumeration date
12/09/2007
Last updated
11/30/2010
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