Individual
MARK HARRIS SHWAYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(888) 631-2452
Mailing address
3720 SW BOND AVE, UNIT 2014, PORTLAND, OR 97239-4571
(310) 901-4995
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A164194
CA
Other
Enumeration date
03/21/2012
Last updated
10/24/2019
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