Individual
NATHAN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3021
(801) 475-3031
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3021
(801) 475-3031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9140789-1205
UT
Other
Enumeration date
07/01/2011
Last updated
01/17/2017
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