| 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 |