Provider Demographics
NPI:1003997198
Name:SWANGER, DONALD G
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:G
Last Name:SWANGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 CROMWELL AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-4318
Mailing Address - Country:US
Mailing Address - Phone:925-361-8899
Mailing Address - Fax:
Practice Address - Street 1:1301 CLAY STREET , SUITE 170N
Practice Address - Street 2:COMMANDER, US COAST GUARD, MLCPAC (KOM)
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612
Practice Address - Country:US
Practice Address - Phone:510-637-1223
Practice Address - Fax:510-637-1227
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
24720000X246QC2700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QC2700XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyCytotechnology