Individual
SAMUEL JASON SWAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9601 INTERSTATE 630 EXIT 7, LITTLE ROCK, AR 72205-7202
(501) 202-2093
Mailing address
11001 EXECUTIVE DRIVE, SUITE 200, LITTLE ROCK, AR 72211
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C02672
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167097001
—
AR
Enumeration date
08/28/2007
Last updated
05/14/2008
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