Basic Information
| Provider Information | |||||||||
| NPI: | 1083738769 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWIGART | ||||||||
| FirstName: | DONALD | ||||||||
| MiddleName: | GARY | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | RVT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1692 WALNUT BOTTOM RD | ||||||||
| Address2: | |||||||||
| City: | NEWVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172419520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7177766726 | ||||||||
| FaxNumber: | 7177766726 | ||||||||
| Practice Location | |||||||||
| Address1: | 757 NORLAND AVE | ||||||||
| Address2: | SUITE 104 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014230 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172176800 | ||||||||
| FaxNumber: | 7172176900 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/19/2007 | ||||||||
| LastUpdateDate: | 06/25/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2471V0105X | Y | Technologists, Technicians & Other Technical Service Providers | Radiologic Technologist | Vascular Sonography |
No ID Information.