Basic Information
| Provider Information | |||||||||
| NPI: | 1497945299 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SWINGLE | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | AU.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7574 N LA CHOLLA BLVD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857412307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207422845 | ||||||||
| FaxNumber: | 5207423881 | ||||||||
| Practice Location | |||||||||
| Address1: | 7574 N LA CHOLLA BLVD | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857412307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207422845 | ||||||||
| FaxNumber: | 5207423881 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2007 | ||||||||
| LastUpdateDate: | 08/11/2009 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 12106993-ASHA | AZ | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.