MEDICARE: DR. JULIE ANN SWAIN M.D.

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	E1144	TX

General Provider Information

NPI Number	:	1295816171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE ANN SWAIN M.D.

Provider Business Mailing Address
First Line	:	5708 RAINBOW HEIGHTS RD
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-8844
Country	:	US
Telephone Number	:	760-451-3218
Fax Number	:

Provider Business Practice Location Address
First Line	:	5708 RAINBOW HEIGHTS RD
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-8844
Country	:	US
Telephone Number	:	760-451-3218
Fax Number	:

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

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	07/08/2007

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