Individual
ANDREW P SWENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6165 W EMERALD, BOISE, ID 83704
(208) 302-3500
(208) 302-3555
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-3500
(208) 302-3555
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-1477
ID
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
07/21/2015
Last updated
03/10/2017
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