Organization Name: | STEWART D. SWENA MD P.C. |
NPI Number: | 1770767766 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEWART D SWENA (PRESIDENT) |
Mailing Address: | 600 Nw 11th St #e-12 Hermiston |
State: | OR US |
Postal Code: | 978388605 |
Phone Number: | 5412890440 |
Fax Number: | 5412890443 |
NPI Enumeration Date: | 12/26/2007 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17599 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |