MEDICARE: DR. ALFRED WARNER SWEDBERG JR. D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1515	NM

General Provider Information

NPI Number	:	1134104235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALFRED WARNER SWEDBERG JR. D.C.

Provider Business Mailing Address
First Line	:	3705 WESTERFELD DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-3462
Country	:	US
Telephone Number	:	505-275-6708
Fax Number	:	505-275-6725

Provider Business Practice Location Address
First Line	:	3705 WESTERFELD DR NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87111-3462
Country	:	US
Telephone Number	:	505-275-6708
Fax Number	:	505-275-6725

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. ALFRED WARNER SWEDBERG JR. D.C.” Practice Location

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