Doctor Name: | DR. LEONARD J SWINYER |
NPI Number: | 1538153234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 1549201205 |
Business Practice Address: | 3920 S 1100 E Suite 310 Salt Lake City, UT - 841241213 |
Business Phone Number: | 8012668841 |
Business Fax Number: | 8012660449 |
Mailing Address: | 4970 Waimea Way, SALT LAKE CITY |
State: | UT |
Postal Code: | 841176445 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/08/2005 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1549201205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |