MEDICARE: DR. LEONARD J SWINYER M.D.

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
1	174400000X	Specialist	1549201205	UT

General Provider Information

NPI Number	:	1538153234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD J SWINYER M.D.

Provider Business Mailing Address
First Line	:	1548 E 4500 S
Second Line	:	STE 202
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-5209
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 S 1100 E
Second Line	:	SUITE 310
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84124-1213
Country	:	US
Telephone Number	:	801-266-8841
Fax Number	:	801-266-0449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	04/26/2026

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