Individual
DEREK WUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
117 SOUTH 11TH STREET 204 PAVILION, PHILADELPHIA, PA 19107-7494
(215) 503-3876
(215) 955-2519
Mailing address
117 SOUTH 11TH STREET 204 PAVILION, PHILADELPHIA, PA 19107-7494
(215) 503-3876
(215) 955-2519
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OT024365
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/15/2024
Last updated
06/30/2025
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