| Doctor Name: | ELIZABETH A SWANSON |
| NPI Number: | 1093865644 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 085001920 |
| Business Practice Address: | Medical Arts Associates, Ltd. 600 John Deere Road, Suite 200 Moline, IL - 612656897 |
| Business Phone Number: | 3097794200 |
| Business Fax Number: | 3097794305 |
| Mailing Address: | Medical Arts Associates, Ltd., 600 John Deere Road, Suite 200 MOLINE |
| State: | IL |
| Postal Code: | 612656897 |
| Phone Number: | 3097794200 |
| Fax Number: | 3097794305 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 06/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 085001920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |