Dallas Swire, CRNA
Nurse Anesthetist, Certified Registered in Roanoke, VA. Individual provider (NPI-1).
NPI number1285641829
StatusActive
Last updated in NPPESMay 5, 2008
Details
- NPI
- 1285641829
- Entity type
- Individual (NPI-1)
- Name
- Dallas Swire
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2006
- Last updated
- May 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024-058459 | VA | Yes |
| 163W00000X | Registered Nurse | 0001-058459 | VA |
Practice location
1906 Belleview Ave SeRoanoke, VA 24014-1838
Phone 540-981-7000
Mailing address
Po Box 354Narrows, VA 24124-0354
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