MEDICARE: DR. ALBERT R. SWAFFORD 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	207XS0106X	Orthopaedic Hand Surgery Physician	C37020	CA

General Provider Information

NPI Number	:	1528063815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT R. SWAFFORD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 21539
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93390-1539
Country	:	US
Telephone Number	:	661-829-4201
Fax Number	:	661-368-1624

Provider Business Practice Location Address
First Line	:	300 OLD RIVER RD
Second Line	:	#150
City	:	BAKERSFIELD
State	:	CA
Zip	:	93311-9503
Country	:	US
Telephone Number	:	661-663-7600
Fax Number	:

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	08/09/2015

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