Individual
DOUGLAS ROBERT SWINEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6335 N FRESNO ST, SUITE 201, FRESNO, CA 93710-5272
(559) 432-1212
(559) 432-6669
Mailing address
6335 N FRESNO ST, SUITE 201, FRESNO, CA 93710-5272
(559) 432-1212
(559) 432-6669
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G415040
CA
207ND0900X
Dermatopathology Physician
G415040
CA
207NS0135X
Procedural Dermatology Physician
G415040
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G415040
—
CA
Enumeration date
09/06/2005
Last updated
06/15/2015
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