Individual
DR. TODD KEITH SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
370 S HAINES PL, BOISE, ID 83712-8360
(208) 424-1714
Mailing address
370 S HAINES PL, BOISE, ID 83712-8360
(208) 424-1714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7215
ID
Other
Enumeration date
04/11/2006
Last updated
09/12/2012
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