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Individual
DR. THOMAS ROBERT PHELPS
Active
Individual
DR. THOMAS ROBERT PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A31705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A31705
STATE LICENSE #
CA
Enumeration date
09/28/2006
Last updated
03/18/2015
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