Individual
JOHN JAMES SWANGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3202 MARK TWAIN DR, PINETOP, AZ 85935-8619
(205) 767-5064
Mailing address
5346 S COUNTY ROAD 405, NEWBERRY, MI 49868-8028
(205) 767-5064
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021309
OTHER PAY FOR SERVICE
—
Enumeration date
10/14/2019
Last updated
11/27/2023
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