Individual
DR. DEREK MICHAEL PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1215 W RIO SALADO PKWY STE 101, TEMPE, AZ 85281-2954
(480) 480-2020
(480) 612-0150
Mailing address
1215 W RIO SALADO PKWY STE 101, TEMPE, AZ 85281-2954
(480) 480-2020
(480) 612-0150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901005485
MI
152W00000X
Optometrist
OPT.006797
OH
152W00000X
Optometrist
Primary
OPT002423
AZ
Other
Enumeration date
06/26/2019
Last updated
03/20/2025
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