Individual
DARREN R SWENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 PACIFIC AVE STE 600, TACOMA, WA 98402-4384
(253) 203-3131
(253) 214-0061
Mailing address
1201 PACIFIC AVE STE 600, TACOMA, WA 98402-4384
(253) 203-3131
(253) 214-0061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11397
NV
208M00000X
Hospitalist Physician
11397
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11397
MEDICAL LICENSE
NV
01
—
CC9589
BCBS
NV
01
—
P00165375
RR MEDICARE
NV
Enumeration date
02/14/2006
Last updated
02/12/2018
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