Individual
DR. THOMAS ROBERT PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 OLD FARM RD, BAKERSFIELD, CA 93312-3521
(805) 410-8125
Mailing address
2001 OLD FARM RD, BAKERSFIELD, CA 93312-3521
(805) 410-8125
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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