Swenson M.d. Inc.

NPI #1215191390 in Rupert, Idaho

Provider Information

NPI Number: 1215191390
Entity Type: Organization
Organization Name: Swenson M.d. Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jul 17, 2008
Last Updated: Jul 17, 2008

Practice Location

Address: 1218 9TH ST STE 4
City: Rupert
State: Idaho
ZIP Code: 83350-2207
Phone: (208) 436-4838

Authorized Official

Name: DR. JEFFREY SCOTT SWENSON, M.D.
Title: OWNER
Phone: (208) 436-4838

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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