Provider Demographics
NPI:1932196334
Name:SWARTZ, JOEY (MD)
Entity Type:Individual
Prefix:
First Name:JOEY
Middle Name:
Last Name:SWARTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USS HAWK CV-63
Mailing Address - Street 2:MEDICAL DEPT
Mailing Address - City:FPO
Mailing Address - State:FPO
Mailing Address - Zip Code:96634-2770
Mailing Address - Country:US
Mailing Address - Phone:011-810-4681
Mailing Address - Fax:
Practice Address - Street 1:USS HAWK CV-63
Practice Address - Street 2:MEDICAL DEPT
Practice Address - City:FPO
Practice Address - State:FPO
Practice Address - Zip Code:96634-2770
Practice Address - Country:US
Practice Address - Phone:011-810-4681
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN32443207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine