Derek Dragon

NPI #1568076925 in Harveys Lake, Pennsylvania

Provider Information

NPI Number: 1568076925
Entity Type: Individual
Name: Derek Dragon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 3, 2020
Last Updated: Sep 3, 2020

Practice Location

Address: 1319 SCHOOL HOUSE RD
City: Harveys Lake
State: Pennsylvania
ZIP Code: 18618-2135
Phone: (570) 592-0202

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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