Individual
STEPHAN EARL SWEARNGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
975 RYLAND ST, STE 100, RENO, NV 89502-1667
(775) 982-5000
(775) 982-5225
Mailing address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8781
(775) 888-3225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
876
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11041969
CAQH
—
05
—
1467426668
—
NV
01
—
P00157000
RR MEDICARE
NV
Enumeration date
02/14/2006
Last updated
11/14/2018
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