Healthcare Provider Details

I. General information

NPI: 1063442572
Provider Name (Legal Business Name): JOHN F SWARTZ III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 10/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 W 32ND STREET STE 300
JOPLIN MO
64804
US

IV. Provider business mailing address

PO BOX 3810
JOPLIN MO
64803
US

V. Phone/Fax

Practice location:
  • Phone: 417-347-5000
  • Fax: 417-347-6454
Mailing address:
  • Phone: 417-347-5000
  • Fax: 417-347-6454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2006005295
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number2006005295
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: