Individual
MRS. CINDY A PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8434 PHOENIX AVE, SUITEG, FORT SMITH, AR 72903-6143
(479) 883-8851
Mailing address
3900 GASCONY WAY, FORT SMITH, AR 72903-6342
(479) 883-8851
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
2824
AR
174400000X
Specialist
Primary
2824
AR
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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