Provider Demographics
NPI:1245473933
Name:SWINGLE, EMMA LAYTON (MD)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:LAYTON
Last Name:SWINGLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 25608
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84125-0608
Mailing Address - Country:US
Mailing Address - Phone:206-320-3400
Mailing Address - Fax:206-320-5773
Practice Address - Street 1:7210 ROOSEVELT WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5600
Practice Address - Country:US
Practice Address - Phone:206-320-3400
Practice Address - Fax:206-320-5773
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-11
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA60286661207QG0300X
WAMD60286661207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine