Provider Demographics
NPI:1700230216
Name:SZWEC, DEVYN IRENE GRAHAM (D O)
Entity Type:Individual
Prefix:
First Name:DEVYN
Middle Name:IRENE GRAHAM
Last Name:SZWEC
Suffix:
Gender:F
Credentials:D O
Other - Prefix:
Other - First Name:DEVYN
Other - Middle Name:
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:125 MERLIN RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-2016
Mailing Address - Country:US
Mailing Address - Phone:610-246-4491
Mailing Address - Fax:
Practice Address - Street 1:101 W 8TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2307
Practice Address - Country:US
Practice Address - Phone:509-474-3260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT016970207R00000X
WAOP61066662207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine