Provider Demographics
NPI:1518494194
Name:SWIGER, ADAM JAY (DO)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:JAY
Last Name:SWIGER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2861 NE INDEPENDENCE AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-2379
Mailing Address - Country:US
Mailing Address - Phone:816-246-0800
Mailing Address - Fax:
Practice Address - Street 1:2861 NE INDEPENDENCE AVE STE 205
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-2379
Practice Address - Country:US
Practice Address - Phone:816-246-0800
Practice Address - Fax:816-246-6613
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-15
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2022029306208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery