Individual provider · Type 1 NPI

Taylor R. Dibble, MD

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

NPI number 1821626540 Active

Practice location

3535 Market St Fl 2
Philadelphia, PA 19104-3317

Call (215) 746-7212 Map

Mailing address

7 N Columbus Blvd Apt 104
Philadelphia, PA 19106-1450

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 1821626540

Taylor R. Dibble, MD's National Provider Identifier is 1821626540, issued on Mar 29, 2020. 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 29, 2020.