Organization
LA-MISS PODIATRY & FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE F PHELAN DPM (OWNER)
(601) 790-7710
Entity
Organization
Contact information
Practice address
2429 W COMMERCE ST STE A, OCEAN SPRINGS, MS 39564-3124
(228) 875-1141
(228) 875-6885
Mailing address
2429 W COMMERCE ST STE A, OCEAN SPRINGS, MS 39564-3124
(228) 875-1141
(228) 875-6885
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
80145
MS
332B00000X
Durable Medical Equipment & Medical Supplies
80145
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08400304
—
MS
Enumeration date
08/29/2007
Last updated
02/28/2022
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