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Derek Boyd Southwick, MD
Student in an Organized Health Care Education/Training Program in Muncie, Indiana
NPI 1801647284

Derek Boyd Southwick is a Student in an Organized Health Care Education/Training Program based in Muncie, IN. Derek Boyd Southwick practices in Muncie, IN and has the professional credentials of MD. The NPI Number for Derek Boyd Southwick is 1801647284 and holds a License No. (Indiana).

The current practice location address for Derek Boyd Southwick is 221 N Celia Ave, Muncie, IN and can be reached out via phone at 765-747-8413.

Location: 221 N Celia Ave, Muncie, IN, 47303-4609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801647284
Provider Name
Derek Boyd Southwick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
221 N Celia Ave, Muncie, IN, 47303-4609
Phone Number
765-747-8413
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
221 N Celia Ave
City
Muncie
State
Indiana
Zip
47303-4609
Phone Number
765-747-8413
Fax Number
person
Provider Business Mailing Address Details
Address
221 N Celia Ave
City
Muncie
State
Indiana
Zip
47303-4609
Phone Number
765-747-8413
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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