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GEOFFREY N. SWANSON, M.D., P.A.

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Company Details

Name: GEOFFREY N. SWANSON, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 23 Jun 1998 (27 years ago)
Financial Date End: 30 Jun 2011
Date dissolved: 10 Feb 2011
Entity Number: 381752
Place of Formation: IDAHO
File Number: 0000381752
ZIP code: 83642
County: Ada County
Mailing Address: 1825 W DAINTY LN MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1447449640

Authorized Person:

Name:
DR. GEOFFREY N SWANSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
Yes

Contacts:

Fax:
2082881535

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000878611 2011-02-10
Annual Report 0002637616 2010-04-20
Annual Report 0002637615 2009-04-16
Annual Report 0002637618 2008-04-25
Annual Report 0002637617 2007-04-12

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State