Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35827 | IA |
N | 207U00000X | Nuclear Medicine Specialist | 47112 | MN |
Y | 207U00000X | Nuclear Medicine Specialist | 5236 | SD |
NPI | 1104825918 |
---|---|
Provider Name | Dr. David A Swanson |
First Address | Sioux Falls, SD 57105-1715 |
Second Address | Sioux Falls, SD 57105-1715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 26/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H97491 | (02) |