Individual
AMY N PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 588-3272
(801) 588-3279
Mailing address
1954 FORT UNION BLVD, 111, SALT LAKE CITY, UT 84121-6800
(801) 993-9551
(801) 733-5623
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
173190-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107005588101
IHC
UT
01
—
2000040
UNITED HEALTHCARE
UT
01
—
2299
HEALTHY U
UT
01
—
30735
PEHP
UT
05
—
401765
—
MT
01
—
416946
DESERET MUTUAL
UT
01
—
870280408PH1
EDUCATORS MUTUAL
UT
01
—
PRA02031
MOLINA
UT
01
—
QM0000049536
ALTIUS
UT
Enumeration date
08/20/2006
Last updated
07/08/2007
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