Swenson, Randal W

Swenson, Randal W is an individual health care provider with primary practice located at 4000 S 700 E Ste 10, Slc UT 84107-2180. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is his primary health care specialty. Swenson, Randal W can be contacted via phone (801) 268-4141.

Contact Information

Primary practice address
4000 S 700 E Ste 10 Slc UT 84107-2180
Phone: (801) 268-4141
Fax: (801) 268-4141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 172807-1205 Utah
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 172807-1205 Utah

Profile Details

NPI number 1578522959
LBN Legal business name Swenson, Randal W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578522959 NPPES
Utah MEDICAID 870354540001

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