Individual
JEFFREY H SWINGHOLM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
C/O GRANT MEMORIAL HOSPITAL, 1 HOSPITAL DRIVE, PETERSBURG, WV 26847
(304) 257-1026
(304) 257-1932
Mailing address
PO BOX 1019, PETERSBURG, WV 26847-1019
(304) 257-1026
(304) 257-1932
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
59659
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2605108000
—
WV
Enumeration date
07/28/2005
Last updated
07/09/2007
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