Provider Demographics
NPI:1407953573
Name:SWEA, P.C.
Entity type:Organization
Organization Name:SWEA, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-324-1922
Mailing Address - Street 1:5700 E PIMA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-5601
Mailing Address - Country:US
Mailing Address - Phone:520-382-2819
Mailing Address - Fax:520-382-2832
Practice Address - Street 1:5301 E GRANT RD
Practice Address - Street 2:TMC EMERGENCY DEPARTMENT
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-2805
Practice Address - Country:US
Practice Address - Phone:520-324-1922
Practice Address - Fax:520-324-1088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0035930OtherBCBS GROUP PIN
C12342OtherRAILROAD MEDICARE GROUP #
AZIZ6811OtherHEALTHNET GROUP #
AZAZ0035930OtherBCBS GROUP PIN