Individual
CANDICE SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8101 N 19TH AVE STE A, PHOENIX, AZ 85021-5161
(602) 845-4505
Mailing address
1531 E UTOPIA RD, PHOENIX, AZ 85024-3623
(480) 286-0694
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6385
AZ
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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