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Individual
HERBERT A. PHELAN
Active
Individual
HERBERT A. PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
26277
AL
2086S0127X
Trauma Surgery Physician
26277
AL
2086S0127X
Trauma Surgery Physician
Primary
L6574
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009981675
—
AL
05
—
009982245
—
AL
05
—
04551295
—
MS
05
—
272262300
—
FL
01
—
51526082
BLUE CROSS
AL
01
—
51526083
BLUE CROSS
AL
01
—
76-00405
UNITED HEALTH CARE
AL
Enumeration date
05/22/2006
Last updated
05/06/2013
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