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NPI Code Detail

MEDICARE: DARRELL CRAIG SWOLENSKY DC

MEDICARE:   DARRELL CRAIG SWOLENSKY  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorB-732NV

General Provider Information

NPI Number : 1801896733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARRELL CRAIG SWOLENSKY DC
Provider Business Mailing Address
First Line : 858 S BOULDER HWY
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7564
Country : US
Telephone Number : 702-565-7474
Fax Number : 702-442-0756
Provider Business Practice Location Address
First Line : 858 S BOULDER HWY
Second Line :
City : HENDERSON
State : NV
Zip : 89015-7564
Country : US
Telephone Number : 702-565-7474
Fax Number : 702-442-0756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 12/04/2009

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Directions to “ DARRELL CRAIG SWOLENSKY DC” Practice Location

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