Provider Demographics
NPI:1144314832
Name:SWINGLE, BRUCE GERALD (BCC)
Entity type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:GERALD
Last Name:SWINGLE
Suffix:
Gender:M
Credentials:BCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 FORT HILL AVE.,
Mailing Address - Street 2:VA MEDICAL CENTER (500/125)
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424
Mailing Address - Country:US
Mailing Address - Phone:585-393-7877
Mailing Address - Fax:
Practice Address - Street 1:400 FORT HILL AVE.,
Practice Address - Street 2:VA MEDICAL CENTER (500/125)
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424
Practice Address - Country:US
Practice Address - Phone:585-393-7877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist