Individual
DWIGHT PHELPS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13681 DOCTORS WAY, FT MYERS, FL 33912-4300
(239) 768-8611
Mailing address
P.O. BOX 634748, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0083323
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12008
BCBS
FL
Enumeration date
02/03/2006
Last updated
07/09/2007
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