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Individual

DR. JOHN SWANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4100
Mailing address
832 WILLOW ST, RENO, NV 89502-1304

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9395
NV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
9395
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002016914
NV
05
201660019
NV
Enumeration date
03/23/2006
Last updated
01/10/2013
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