NPI | 1215474713 |
---|---|
Other Name | DAN SWAIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005743) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 10086313-1206) |
363A00000X Physician Assistant (Licence: UT 10086313-8906) | |
Enumeration Date | 2017-01-23 |
Last Update Date | 2023-05-23 |