Provider Demographics
NPI:1154466308
Name:SWARSEN, RONALD JEAN (M,D)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JEAN
Last Name:SWARSEN
Suffix:
Gender:M
Credentials:M,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 HOLLY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5828
Mailing Address - Country:US
Mailing Address - Phone:303-355-7400
Mailing Address - Fax:303-355-8556
Practice Address - Street 1:310 HOLLY ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-5828
Practice Address - Country:US
Practice Address - Phone:303-355-7400
Practice Address - Fax:303-355-8556
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18704174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist