Individual
DR. MARK HAISLIP PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 535-4377
Mailing address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 535-4377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G35085
CA
207Q00000X
Family Medicine Physician
Primary
MD153018
OR
Other
Enumeration date
11/16/2006
Last updated
11/19/2010
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