Individual
MATTHEW JOHN SWANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9555 S EASTERN AVE STE 260, LAS VEGAS, NV 89123-8008
(702) 816-2525
(702) 586-3562
Mailing address
9555 S EASTERN AVE STE 260, LAS VEGAS, NV 89123-8008
(702) 816-2525
(702) 586-3562
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13823
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659496909
—
NV
01
—
V106518
MEDICARE PTAN
NV
Enumeration date
03/19/2007
Last updated
07/11/2016
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