GAYLORD V SWAN

ESPANOLA, NM
NPI1356337893
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: NM  83-316)
Enumeration Date2005-09-20
Last Update Date2008-08-14
Business Address
GAYLORD V SWAN MD
ESPANOLA MULTI-SPECIALTY CLINIC 1010 SPRUCE ST
ESPANOLA, NM 87532
Phone number: 505-367-0340
Mailing Address
GAYLORD V SWAN MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356