Individual
DOUGLAS PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4210 PIONEER WOODS DR STE A, LINCOLN, NE 68506-7561
(402) 488-4321
(402) 488-4355
Mailing address
PO BOX 67250, LINCOLN, NE 68506-7250
(402) 328-2907
(888) 965-0959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61178665
WA
Other
Enumeration date
05/15/2006
Last updated
11/05/2021
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