Individual
JOSEPH SPENCER SWICKARD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 BRYAN AVE, STE A, TUSTIN, CA 92780-4401
(714) 832-4731
(714) 832-8965
Mailing address
1101 BRYAN AVE, STE A, TUSTIN, CA 92780-4401
(714) 832-4731
(714) 832-8965
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C35168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C35168
MEDICAL LICENSE
CA
Enumeration date
06/10/2005
Last updated
07/08/2007
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