Provider Demographics
NPI:1174766034
Name:SWANGER, RONALD SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:SCOTT
Last Name:SWANGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16190 TANEA DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8180
Mailing Address - Country:US
Mailing Address - Phone:775-737-4515
Mailing Address - Fax:
Practice Address - Street 1:590 EUREKA AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-3425
Practice Address - Country:US
Practice Address - Phone:775-323-5083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1209662085N0700X, 2085R0202X
NY2516802085N0700X, 2085R0202X
NV142912085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology