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NPI Code Detail

MEDICARE: DARREN R SWENSON MD

MEDICARE: DARREN R SWENSON 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
1208M00000XHospitalist Physician11397NV
2207R00000XInternal Medicine Physician11397NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00165375OTHERNVRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111397OTHERNVMEDICAL LICENSE
2CC9589OTHERNVBCBS

General Provider Information

NPI Number : 1942274170
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN R SWENSON MD
Provider Business Mailing Address
First Line : 1201 PACIFIC AVE STE 600
Second Line :
City : TACOMA
State : WA
Zip : 98402-4384
Country : US
Telephone Number : 253-203-3131
Fax Number : 253-214-0061
Provider Business Practice Location Address
First Line : 1201 PACIFIC AVE STE 600
Second Line :
City : TACOMA
State : WA
Zip : 98402-4384
Country : US
Telephone Number : 253-203-3131
Fax Number : 253-214-0061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 02/12/2018

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