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General NPI Number Information
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NPI Number | 1992758486
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Entity Type | Organization
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Legal Business Name | SWOFFORD & HALMA CLINIC, INC. P.S.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 2303 REITH WAY
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City | SUNNYSIDE
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State | WA
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Zip | 98944
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Country | US
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Telephone | 509-837-3933
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Fax | 509-837-3885
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Provider Business Mailing Address
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Address Line | PO BOX 119
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City | SUNNYSIDE
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State | WA
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Zip | 98944
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Country | US
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Telephone | 509-837-3933
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Fax | 509-837-3885
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Authorized Official
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Title or Position | CO-OWNER
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Name | HARLAN D HALMA
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Credential | MD
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Telephone | 509-837-3933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 600135300
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License Number State | WA
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