Individual
JOHN RAYMOND SWEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
39000 BOB HOPE DR, HARRY & DIANE RINKER BUILDING, RANCHO MIRAGE, CA 92270-3221
(760) 568-2684
(760) 837-2264
Mailing address
PO BOX 1810, RANCHO MIRAGE, CA 92270-1059
(760) 568-2684
(760) 837-2264
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20271
CA
363AS0400X
Surgical Physician Assistant
PA20271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20271
CA LICENSE #
CA
Enumeration date
09/25/2006
Last updated
05/13/2008
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