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Individual
ALFRED LORENZO PHELPS
Active
Individual
ALFRED LORENZO PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
PA030795
DC
363A00000X
Physician Assistant
C0005138
MD
363A00000X
Physician Assistant
Primary
PA030795
DC
363AM0700X
Medical Physician Assistant
C0005138
MD
363AS0400X
Surgical Physician Assistant
C0005138
MD
Other
Enumeration date
08/03/2013
Last updated
09/21/2026
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