Individual
DR. WILLIAM RUDOLPH PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 WALTEN POINT, ERIE, PA 16511
(814) 323-8630
Mailing address
101 WALTEN POINT, ERIE, PA 16511
(814) 323-8630
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD018501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006381810010
—
PA
Enumeration date
08/09/2005
Last updated
05/10/2017
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