SearchIdaho363AS0400X

Andrew Swenson, PA

NPI 1710362710 · on the registry since 2015 · sole proprietor

Practice

Address
6165 W Emerald
Boise, ID 83704
Phone
(208) 302-3500
Fax
(208) 302-3555

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Also registered as
363AS0400X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho