Individual provider · Type 1 NPI

Phillip Benjamin Prewitt

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1376276642 Active

Practice location

100 Blanken Ave
San Francisco, CA 94134-2407

Call (415) 330-5740 Map

Fax (415) 330-9120

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 1376276642

Phillip Benjamin Prewitt's National Provider Identifier is 1376276642, issued on Jul 5, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Jul 5, 2022.