Individual
HARRISON J SWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 N 2ND ST, ROCHELLE, IL 61068-1717
(815) 562-3748
(815) 561-2756
Mailing address
900 N 2ND ST, ROCHELLE, IL 61068-1717
(815) 562-3748
(815) 561-2756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009298
IL
Other
Enumeration date
05/24/2022
Last updated
08/26/2024
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