Whalio Doctors

NPI 1013956705

Joel C Swanson, MD

Practitioner Internal Medicine Physician Eagle, ID

Practice location

Address
323 E Riverside Dr, Suite 224 Samg Ehp Family Medicine, Eagle, ID 83616-6815
Phone
(208) 302-6000
Fax
(208) 302-6055
Mailing address
PO Box 190930, Boise, ID 83719-0930

Registered specialties

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence M8006 (ID)

Registry record

NPI
1013956705
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jun 2006
Record last updated
15 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.