| Swenson Medical Group Professional Corporation | |
|
1501 S Oregon St Yreka CA 96097-3425 | |
| (530) 842-2062 | |
| (530) 842-2160 |
| Full Name | Swenson Medical Group Professional Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1501 S Oregon St, Yreka, California |
| Authorized Official Name and Position | Richard Erick Swenson (OWNER) |
| Authorized Official Contact | 5308422062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Swenson Medical Group Professional Corporation 1501 S Oregon St Yreka CA 96097-3425 Ph: (530) 842-2062 | Swenson Medical Group Professional Corporation 1501 S Oregon St Yreka CA 96097-3425 Ph: (530) 842-2062 |
| NPI Number | 1649315029 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649315029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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