Provider Demographics
NPI:1093328585
Name:SWIGGART, PARKER ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:PARKER
Middle Name:ALAN
Last Name:SWIGGART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2308 SE 28TH ST STE 8
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-3701
Mailing Address - Country:US
Mailing Address - Phone:479-250-9834
Mailing Address - Fax:479-250-9834
Practice Address - Street 1:2308 SE 28TH ST STE 8
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-3701
Practice Address - Country:US
Practice Address - Phone:479-250-9834
Practice Address - Fax:479-250-9834
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR16279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty