Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 133130 | CA |
NPI | 1003100645 |
---|---|
Provider Name | Dr. Christopher Warren Swales |
First Address | Rancho Cordova, CA 95670-7956 |
Second Address | Davis, CA 95616-5658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2011 |
Last Update Date | 29/01/2018 |