NPI | 1447449640 |
---|---|
Doing Business As | ADA MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | GEOFFREY N SWANSON Owner 208-288-2255 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ID M6536) |
Enumeration Date | 2007-10-24 |
Last Update Date | 2007-10-24 |