CLAYTON BLACKWELL

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1386404812

Practice Address

3400 SPRUCE ST
Philadelphia, PA 19104

Phone: (734) 755-7512

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1386404812 is the National Provider Identifier for CLAYTON BLACKWELL, a Student in an Organized Health Care Education/Training Program provider located in Philadelphia, PA. This NPI was enumerated on March 21, 2024.
CLAYTON BLACKWELL practices at 3400 SPRUCE ST, Philadelphia, PA 19104.

Quick Facts

NPI
1386404812
Type
Individual
Enumerated
Mar 21, 2024
Last Updated
Jun 13, 2025

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