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Derek Curt Knapp, DPMSTUDENT
Student in an Organized Health Care Education/Training Program in Antioch, California
NPI 1205462819

Derek Curt Knapp is a Student in an Organized Health Care Education/Training Program based in Antioch, CA. Derek Curt Knapp practices in Antioch, CA and has the professional credentials of DPMSTUDENT. The NPI Number for Derek Curt Knapp is 1205462819 and holds a License No. (California).

The current practice location address for Derek Curt Knapp is 4900 Canada Valley Rd Apt 165, Antioch, CA and can be reached out via phone at 208-705-2073.

Location: 4900 Canada Valley Rd Apt 165, Antioch, CA, 94531-9003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205462819
Provider Name
Derek Curt Knapp
Credential
DPMSTUDENT
Provider Entity Type
Individual
Gender
Male
Address
4900 Canada Valley Rd Apt 165, Antioch, CA, 94531-9003
Phone Number
208-705-2073
Fax Number
Provider Enumeration Date
03/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4900 Canada Valley Rd Apt 165
City
Antioch
State
California
Zip
94531-9003
Phone Number
208-705-2073
Fax Number
person
Provider Business Mailing Address Details
Address
4900 Canada Valley Rd Apt 165
City
Antioch
State
California
Zip
94531-9003
Phone Number
208-705-2073
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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