Provider Demographics
NPI:1770580201
Name:SWAUGER, JOANNA R (DO)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:R
Last Name:SWAUGER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:800 PLAZA DR
Mailing Address - Street 2:SUITE 290
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-4019
Mailing Address - Country:US
Mailing Address - Phone:724-379-6850
Mailing Address - Fax:678-553-0330
Practice Address - Street 1:800 PLAZA DR
Practice Address - Street 2:SUITE 290
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-4019
Practice Address - Country:US
Practice Address - Phone:724-379-6850
Practice Address - Fax:678-553-0330
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2015-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOSO10190-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH18723Medicare UPIN