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Dr. Philip John Derleth, DC
Student in an Organized Health Care Education/Training Program in Fairport, New York
NPI 1659696771

Philip John Derleth is a Student in an Organized Health Care Education/Training Program based in Fairport, NY. Philip John Derleth practices in Fairport, NY and has the professional credentials of DC. The NPI Number for Philip John Derleth is 1659696771 and holds a License No. (New York).

The current practice location address for Philip John Derleth is 1387 Fairport Rd, Fairport, NY and can be reached out via phone at 585-598-3535.

Location: 1387 Fairport Rd, Fairport, NY, 14450-9377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659696771
Provider Name
Philip John Derleth
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1387 Fairport Rd, Fairport, NY, 14450-9377
Phone Number
585-598-3535
Fax Number
Provider Enumeration Date
03/31/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1387 Fairport Rd
City
Fairport
State
New York
Zip
14450-2003
Phone Number
585-598-3535
Fax Number
person
Provider Business Mailing Address Details
Address
1387 Fairport Rd
City
Fairport
State
New York
Zip
14450-2003
Phone Number
585-598-3535
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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