Derek Swanson is a student in an organized health care education training program in Philadelphia, PA. The provider is 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. Derek Swanson NPI is 1174100663. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3400 CIVIC CENTER BOULEVARD
4 SOUTH PAVILION, DEPARTMENT OF ORAL AND MAXILLOFACIAL
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 900-3506
The enumeration date for this NPI number is 3/29/2021 and was last updated on 3/10/2022.