Individual
PATRICK JOSEPH PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 MEDICAL CENTER DR, STE 300, MEDFORD, OR 97504-4316
(541) 930-8907
(541) 245-4820
Mailing address
520 MEDICAL CENTER DR, STE 300, MEDFORD, OR 97504-4316
(541) 930-8907
(541) 245-4820
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD177180
OR
208600000X
Surgery Physician
ML20009072
WA
2086S0129X
Vascular Surgery Physician
MD177180
OR
Other
Enumeration date
08/09/2007
Last updated
09/02/2016
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