| Chris Swanson Medical Group Llc | |
|
3220 Providence Dr Ste E3-040 Anchorage AK 99508-4679 | |
| (907) 297-9503 | |
| Not Available |
| Full Name | Chris Swanson Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3220 Providence Dr Ste E3-040, Anchorage, Alaska |
| Authorized Official Name and Position | Chris Swanson (OWNER) |
| Authorized Official Contact | 9072979503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Swanson Medical Group Llc 3220 Providence Dr Ste E3-040 Anchorage AK 99508-4679 Ph: (907) 297-9503 | Chris Swanson Medical Group Llc 3220 Providence Dr Ste E3-040 Anchorage AK 99508-4679 Ph: (907) 297-9503 |
| NPI Number | 1063102481 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 8426416868 |
|---|---|
| Medicare Enrollment ID | O20230616002724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063102481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Chris A Swanson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134379159 PECOS PAC ID: 4385814128 Enrollment ID: I20110902000403 |
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