Individual
MAX DWIGHT PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH00009411
Contact information
Practice address
25316 74TH AVE S STE 105, KENT, WA 98032-6022
(800) 562-8386
(800) 421-7772
Mailing address
23234 114TH WAY SE, KENT, WA 98031-3429
(206) 683-1035
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PH00009411
WA
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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