Healthcare Provider Details

I. General information

NPI: 1124492731
Provider Name (Legal Business Name): SWANSON ANESTHESIA AND FINANCE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2015
Last Update Date: 11/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9551 PASEO DEL NORTE NE
ALBUQUERQUE NM
87122-2975
US

IV. Provider business mailing address

1717 VALDEZ DR NE
ALBUQUERQUE NM
87112-4857
US

V. Phone/Fax

Practice location:
  • Phone: 505-681-0809
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN SWANSON
Title or Position: PROVIDER
Credential:
Phone: 505-681-0809