Individual
DR. FREDERICK SWARTZENDRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
430 BOXWOOD LN, PEARISBURG, VA 24134-1168
(540) 921-2158
(540) 921-2915
Mailing address
430 BOXWOOD LN, PEARISBURG, VA 24134-1168
(540) 921-2158
(540) 921-2915
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101048289
VA
208600000X
Surgery Physician
29680
NC
2086S0129X
Vascular Surgery Physician
0101048289
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010035341
—
VA
01
—
P00277127
MEDICARE RAILROAD
VA
01
—
P01538127
MEDICARE RAIL ROAD
NC
Enumeration date
01/30/2006
Last updated
02/07/2019
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