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Individual

DR. JOSHUA RAPHAEL PHELPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP, D.C.

Contact information

Practice address
1900 WASHINGTON BLVD, SUITE 104, OGDEN, UT 84401-6850
(801) 612-1085
(801) 337-1104
Mailing address
1900 WASHINGTON BLVD, SUITE 104, OGDEN, UT 84401-6850
(801) 612-1085
(801) 337-1104

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7387085-1202
UT
363LF0000X
Family Nurse Practitioner
Primary
7387085-4405
UT

Other

Enumeration date
12/03/2007
Last updated
06/22/2022
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