Doctor Name: | JOHN F SWAIM |
NPI Number: | 1073516498 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | E4348 |
Business Practice Address: | 2530 Sister Mary Columba Red Bluff, CA - 960804327 |
Business Phone Number: | 5305277584 |
Business Fax Number: | 5305271604 |
Mailing Address: | 2530 Sister Mary Columba, RED BLUFF |
State: | CA |
Postal Code: | 960804327 |
Phone Number: | 5305277584 |
Fax Number: | 5305271604 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 04/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/20/2006 |
NPI Reactivation Date: | 03/28/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |