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Organization

BILLIE M. PHELPS, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BILLIE MADELYN PHELPS M,D. (PRESIDENT)
(310) 829-7728
Entity
Organization

Contact information

Practice address
2001 SANTA MONICA BLVD, SUITE 855-W, SANTA MONICA, CA 90404-2102
(310) 829-7728
(310) 829-1403
Mailing address
2001 SANTA MONICA BLVD, SUITE 855-W, SANTA MONICA, CA 90404-2189
(310) 829-7728
(310) 829-1403

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A26348
CA

Other

Enumeration date
03/22/2012
Last updated
03/22/2012
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