Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 292580-1205 | UT |
NPI | 1245222819 |
---|---|
Provider Name | Michael T. Swinyard |
First Address | South Jordan, UT 84095-4712 |
Second Address | South Jordan, UT 84095-4712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 05/04/2018 |