Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC0208110 | CA |
NPI | 1104947779 |
---|---|
Provider Name | Dr. Robert S Swanson |
First Address | Santa Barbara, CA 93108-0711 |
Second Address | Santa Barbara, CA 93108-0711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 08/07/2007 |