Individual
ZACHARY A PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(360) 678-7609
Mailing address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(360) 678-7609
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD60050731
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8565104
—
NJ
01
—
DO79899
STATE NARCOTICS LICENSE
NJ
01
—
MA72279
MEDICAL LICENSE
NJ
Enumeration date
09/06/2006
Last updated
03/07/2023
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