Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 7967 | NV |
Y | 2080P0203X | Pediatric Critical Care Doctor | 7967 | NV |
NPI | 1275526261 |
---|---|
Provider Name | James D Swift |
First Address | Las Vegas, NV 89109-2218 |
Second Address | Las Vegas, NV 89109-2317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 07/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E96483 | (02) |