Dwight Mitchell Self, MD 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. Dwight Mitchell Self, MD NPI is 1578192175. 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:
909 WALNUT ST FL 2
PHILADELPHIA, PA
ZIP 19107-211
Phone: (215) 955-7000
Fax: (215) 503-7038
The NPI 1578192175 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/6/2020 and was last updated on 4/6/2020.