Provider Demographics
NPI:1447356431
Name:SWABY, ALPHONSO ORLANDO (DO)
Entity type:Individual
Prefix:DR
First Name:ALPHONSO
Middle Name:ORLANDO
Last Name:SWABY
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 7007
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93539-7007
Mailing Address - Country:US
Mailing Address - Phone:661-945-5984
Mailing Address - Fax:661-723-6446
Practice Address - Street 1:43839 15TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4756
Practice Address - Country:US
Practice Address - Phone:661-945-5984
Practice Address - Fax:661-723-6446
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2008-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A8827207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI27204Medicare UPIN