Individual
GRANT R SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5380 S RAINBOW BLVD, STE 318, LAS VEGAS, NV 89118-1877
(702) 873-3556
(702) 871-4190
Mailing address
5380 S RAINBOW BLVD, STE 318, LAS VEGAS, NV 89118-1877
(702) 873-3556
(702) 871-4190
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2000
NV
Other
Enumeration date
08/26/2011
Last updated
05/28/2015
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