Organization
J RUSSELL PHELPS DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L LUCAS (BILLING DEPT)
(480) 830-2054
Entity
Organization
Contact information
Practice address
2345 E UNIVERSITY DR, STE 1, MESA, AZ 85213
(480) 834-8005
(480) 834-5624
Mailing address
2345 E UNIVERSITY DR, STE 1, MESA, AZ 85213
(480) 834-8005
(480) 834-5624
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
1216
AZ
Other
Enumeration date
09/06/2006
Last updated
08/17/2008
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