Provider Demographics
NPI:1952549602
Name:SZWEDO, DOMINIKA MARIA (MD)
Entity Type:Individual
Prefix:DR
First Name:DOMINIKA
Middle Name:MARIA
Last Name:SZWEDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 DURANCE DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-9134
Mailing Address - Country:US
Mailing Address - Phone:501-258-3156
Mailing Address - Fax:
Practice Address - Street 1:3500 SPRINGHILL DR
Practice Address - Street 2:SUITE 200 A
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72117-2950
Practice Address - Country:US
Practice Address - Phone:501-945-0392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2013-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-8243174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist