Individual provider · Type 1 NPI

Stephen Smith

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

NPI number 1942600044 Active

Practice location

6504 Walnut Park Dr
Philadelphia, PA 19120-1032

Call (267) 283-5571 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X2255A2300X (PA)

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 1942600044

Stephen Smith's National Provider Identifier is 1942600044, issued on Aug 26, 2014. 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 Aug 26, 2014.