Provider Demographics
NPI:1558479956
Name:SWEARINGEN, RICKY RAY (DO)
Entity Type:Individual
Prefix:DR
First Name:RICKY
Middle Name:RAY
Last Name:SWEARINGEN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:4545 E CHANDLER BLVD
Mailing Address - Street 2:C/O CHW URGENT CARE AHWATUKEE
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-7643
Mailing Address - Country:US
Mailing Address - Phone:480-728-4075
Mailing Address - Fax:480-728-4002
Practice Address - Street 1:4545 E CHANDLER BLVD
Practice Address - Street 2:C/O CHW URGENT CARE AHWATUKEE
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85048
Practice Address - Country:US
Practice Address - Phone:480-728-4075
Practice Address - Fax:480-728-4002
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2018-05-17
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Provider Licenses
StateLicense IDTaxonomies
KS05-40808207Q00000X
AZAZ2546207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine