Organization
DOUGLAS G. SWANSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS GERALD SWANSON MD (OWNER)
(719) 635-7288
Entity
Organization
Contact information
Practice address
265 PARKSIDE DR, SUITE 100, COLORADO SPRINGS, CO 80910-3141
(719) 635-7288
(719) 473-6113
Mailing address
265 PARKSIDE DR, SUITE 100, COLORADO SPRINGS, CO 80910-3141
(719) 635-7288
(719) 473-6113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24789
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01247899
—
CO
Enumeration date
01/18/2007
Last updated
06/30/2014
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