Individual
MRS. PAULA BRUTZ PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1151 HOSPITAL WAY, SUITE D, SUITE 201, POCATELLO, ID 83201-5091
(208) 478-2472
Mailing address
PO BOX 4908, POCATELLO, ID 83205-4908
(208) 236-1600
(208) 209-1027
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-166
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004392500
—
ID
01
—
PAJ81
BCS
ID
Enumeration date
02/01/2007
Last updated
06/19/2018
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