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Organization
TIMOTHY E PHELAN, M.D A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
TIMOTHY E PHELAN, M.D A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Creekside OB/Gyn of Folsom Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY EDWIN PHELAN M.D. (DOCTOR)
(916) 984-7428
Entity
Organization
Contact information
Practice address
1621 CREEKSIDE DR, 102, FOLSOM, CA 95630-3493
(916) 984-7428
(916) 984-0157
Mailing address
1621 CREEKSIDE DR, 102, FOLSOM, CA 95630-3493
(916) 984-7428
(916) 984-0157
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G084901
CA
Other
Enumeration date
08/22/2007
Last updated
03/09/2011
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