Individual
DR. ROBERT D. SWACKHAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E 2ND ST, SUITE 400, RENO, NV 89502-1262
(775) 982-2400
(775) 982-2888
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-3900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G59990
CA
207RI0011X
Interventional Cardiology Physician
Primary
4616
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11051011
CAQH
—
01
—
CC2339
BLUE CROSS BLUE SHIELD
NV
05
—
XPY093230
—
CA
Enumeration date
07/20/2006
Last updated
08/30/2021
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