Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 32851 | CA |
NPI | 1003231176 |
---|---|
Provider Name | Dr. Noah Curtis Swanson |
First Address | Gaviota, CA 93117-9753 |
Second Address | Gaviota, CA 93117-9753 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2014 |
Last Update Date | 26/02/2014 |