person
Dr. Dominique C Prue, MD
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1205465903

Dominique C Prue is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Dominique C Prue practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Dominique C Prue is 1205465903 and holds a License No. (Pennsylvania).

The current practice location address for Dominique C Prue is 800 Spruce St, Philadelphia, PA and can be reached out via phone at 215-829-3470 and via fax at 215-829-3973.

Location: 800 Spruce St, Philadelphia, PA, 19107-6192
person
Provider Profile Details
NPI Number
1205465903
Provider Name
Dominique C Prue
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
800 Spruce St, Philadelphia, PA, 19107-6192
Phone Number
215-829-3470
Fax Number
215-829-3973
Provider Enumeration Date
04/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Spruce St
City
State
Zip
19107-6192
Phone Number
215-829-3470
Fax Number
215-829-3973
person
Provider Business Mailing Address Details
Address
800 Spruce St
City
State
Zip
19107-6192
Phone Number
215-829-3470
Fax Number
215-829-3973
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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