Individual
JANAE ELAINE PHELPS DARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2150 PENNSYLVANIA AVE NW, SUITE 2B, WASHINGTON, DC 20037-3201
(202) 741-2911
Mailing address
4712 LONGHORN DR, BELTSVILLE, MD 20705-2942
(240) 391-6069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
P5613
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2009
Last updated
03/11/2013
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