| Douglas G. Swanson Md Pc | |
|
265 Parkside Dr Suite 100 Colorado Springs CO 80910-3141 | |
| (719) 635-7288 | |
| (719) 473-6113 |
| Full Name | Douglas G. Swanson Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 265 Parkside Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Douglas Gerald Swanson (OWNER) |
| Authorized Official Contact | 7196357288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas G. Swanson Md Pc 265 Parkside Dr Suite 100 Colorado Springs CO 80910-3141 Ph: (719) 635-7288 | Douglas G. Swanson Md Pc 265 Parkside Dr Suite 100 Colorado Springs CO 80910-3141 Ph: (719) 635-7288 |
| NPI Number | 1851443808 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 06/30/2014 |
| Medicare PECOS PAC ID | 2668460734 |
|---|---|
| Medicare Enrollment ID | O20040505001555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851443808 | NPI | - | NPPES |
| 01247899 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24789 (Colorado) | Primary |
| Provider Name | Douglas G Swanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285697318 PECOS PAC ID: 1557359627 Enrollment ID: I20040506000270 |
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