Provider Demographics
NPI:1336160175
Name:SWITZER, ROBERT J II (PA)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:J
Last Name:SWITZER
Suffix:II
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14432-9371
Mailing Address - Country:US
Mailing Address - Phone:315-462-7773
Mailing Address - Fax:
Practice Address - Street 1:28 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14432-9371
Practice Address - Country:US
Practice Address - Phone:315-462-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008982363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant