Basic Information
| Provider Information | |||||||||
| NPI: | 1942311584 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SWISHER IV | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | T | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO, CAQ, FAAFP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1316 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | CLARION | ||||||||
| State: | IA | ||||||||
| PostalCode: | 505252019 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5155322811 | ||||||||
| FaxNumber: | 3193431161 | ||||||||
| Practice Location | |||||||||
| Address1: | 1924 SUPERIOR ST | ||||||||
| Address2: | |||||||||
| City: | WEBSTER CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 505953146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5158323332 | ||||||||
| FaxNumber: | 5158321114 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 06/17/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/17/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QS0010X | 8418 | SD | N | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine | 207QS0010X | 03815 | IA | Y | Allopathic & Osteopathic Physicians | Family Medicine | Sports Medicine |
No ID Information.