Individual
DR. JOHN M SWANGIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3974 SPRINGFIELD RD, GLEN ALLEN, VA 23060-4119
(804) 273-1717
(804) 368-0242
Mailing address
3974 SPRINGFIELD RD, GLEN ALLEN, VA 23060-4119
(804) 273-1717
(804) 368-0242
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000859
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093446
ANTHEM
IN
01
—
000000105251
ANTHEM BC/BS
IN
01
—
000000248196
BCBS PIN #
IN
01
—
10760823
CAQH #
IN
05
—
200178550
—
IN
01
—
91115450
BCBS IL PIN #
IL
Enumeration date
05/05/2006
Last updated
03/11/2023
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