Individual
ANDREW JAMES SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1959 E PRATER WAY, SPARKS, NV 89434
(775) 331-5200
(775) 331-5202
Mailing address
1959 E PRATER WAY, SPARKS, NV 89434
(775) 331-5200
(775) 331-5202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
852
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016639
—
NV
Enumeration date
12/28/2005
Last updated
10/10/2012
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