Provider Demographics
NPI:1619095064
Name:SWARTOUT, DENNIS LEON (MD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:LEON
Last Name:SWARTOUT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:149 EMERALD ST
Mailing Address - Street 2:SUITE S
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3611
Mailing Address - Country:US
Mailing Address - Phone:603-355-2300
Mailing Address - Fax:603-352-5336
Practice Address - Street 1:149 EMERALD ST
Practice Address - Street 2:SUITE S
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3611
Practice Address - Country:US
Practice Address - Phone:603-355-2300
Practice Address - Fax:603-352-5336
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH6038207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHE09882Medicare UPIN