MEDICARE: DR. JOHN SWAIN MD

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	207V00000X	Obstetrics & Gynecology Physician	17001	AZ

General Provider Information

NPI Number	:	1720471212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN SWAIN MD

Provider Business Mailing Address
First Line	:	431 N INDIAN HOUSE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-2512
Country	:	US
Telephone Number	:	520-748-2420
Fax Number	:	520-748-2420

Provider Business Practice Location Address
First Line	:	431 N INDIAN HOUSE RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85711-2512
Country	:	US
Telephone Number	:	520-748-2420
Fax Number	:	520-748-2420

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

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	03/09/2015

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Directions to “ DR. JOHN SWAIN MD” Practice Location

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