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NPI Code Detail

MEDICARE: ANNE SWANBERG AU.D.

MEDICARE:   ANNE  SWANBERG  AU.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
1231H00000XAudiologist840CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1840OTHERCOAUDIOLOGIST LICENSE

General Provider Information

NPI Number : 1528505732
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE SWANBERG AU.D.
Provider Business Mailing Address
First Line : 997 W 950 N STE 250
Second Line :
City : CENTERVILLE
State : UT
Zip : 84014-1880
Country : US
Telephone Number : 719-257-3947
Fax Number : 385-337-3737
Provider Business Practice Location Address
First Line : 997 W 950 N STE 250
Second Line :
City : CENTERVILLE
State : UT
Zip : 84014-1880
Country : US
Telephone Number : 719-257-3947
Fax Number : 385-337-3737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2017
Last Update Date : 02/04/2026

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