Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1663 | CO |
NPI | 1336287069 |
---|---|
Provider Name | Dr. Adrian W. Swenson |
First Address | Wheat Ridge, CO 80033-4752 |
Second Address | Wheat Ridge, CO 80033-4752 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 08/07/2007 |