Provider Demographics
NPI:1467723726
Name:SWATZYNA, RANDAL L (PA)
Entity Type:Individual
Prefix:
First Name:RANDAL
Middle Name:L
Last Name:SWATZYNA
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Gender:M
Credentials:PA
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Mailing Address - Street 1:150 MARKET RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:DALEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24083-3258
Mailing Address - Country:US
Mailing Address - Phone:540-966-0400
Mailing Address - Fax:540-992-6669
Practice Address - Street 1:150 MARKET RIDGE LN
Practice Address - Street 2:
Practice Address - City:DALEVILLE
Practice Address - State:VA
Practice Address - Zip Code:24083-3258
Practice Address - Country:US
Practice Address - Phone:540-966-0400
Practice Address - Fax:540-992-6669
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2021-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110003814363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant