MR. Geoffrey Thomas Swanson, PA-C, ATC

NPI #1902491418 in Maywood, Illinois

Provider Information

NPI Number: 1902491418
Entity Type: Individual
Name: MR. Geoffrey Thomas Swanson, PA-C, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C, ATC
Enumeration Date: Mar 5, 2021
Last Updated: Aug 25, 2022

Practice Location

Address: 2160 S 1ST AVE
City: Maywood
State: Illinois
ZIP Code: 60153-3328
Phone: (888) 584-7888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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