Doctor Name: | HENRY ALLEN SWIGERT |
NPI Number: | 1124176193 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G37067 |
Business Practice Address: | 441 N Lakeview Ave Anaheim, CA - 928073028 |
Business Phone Number: | 8889882800 |
Business Fax Number: | |
Mailing Address: | 441 N Lakeview Ave, ANAHEIM |
State: | CA |
Postal Code: | 928073028 |
Phone Number: | 8889882800 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 09/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G37067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |