Roger Phelps M.D.

NPI 1629188990 - Internal Medicine - 207RI0200X

NPI Details
NPI 1629188990
Gender Male
Enumeration Date 08/30/2006
Last Updated 09/22/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
325 EL CERRITO AVE
PIEDMONT CA, 94611-4103, US
Phone (510) 874-1416
Fax
Business Location
325 EL CERRITO AVE
PIEDMONT CA, 94611-4103, US
Phone (510) 874-1416
Fax (510) 834-8206
Toxanomy
Taxonomy Code 207RI0200X
License State California
License Number C41095
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According to our database, Roger Phelps M.D. NPI is 1629188990, taxonomy code is 207RI0200X and license number is C41095, license state is located at California. Roger Phelps M.D. physically located at 325 El Cerrito Ave, Piedmont CA, 94611-4103. NPI Number Roger Phelps M.D. has the Individual type.

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1629188990 NPI number is provided on an as is basis without warranty of any kind. 1629188990 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Phelps M.D. are for informational purposes only.