Individual provider · Type 1 NPI

Philip John Derleth, DC

Student in an Organized Health Care Education/Training Program · Fairport, NY

NPI number 1659696771 Active

Practice location

1387 Fairport Rd, Suite 640
Fairport, NY 14450-2003

Call (585) 598-3535 Map

Mailing address

40 Valley Brook Dr
Fairport, NY 14450-9377

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.

18 other providers at this address

Other student in an organized health care education/training program providers in Fairport

See all in Fairport →

About NPI 1659696771

Philip John Derleth, DC's National Provider Identifier is 1659696771, issued on Mar 31, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fairport, NY. The record was last updated on Mar 31, 2010.