Individual provider · Type 1 NPI

Derek Swanson

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1174100663 Active

Practice location

3400 Civic Center Boulevard, 4 South Pavilion, Department Of Oral And Maxillofacial
Philadelphia, PA 19104

Call (215) 900-3506 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174100663

Derek Swanson's National Provider Identifier is 1174100663, issued on Mar 29, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 10, 2022.