Individual
BILLIE MADELYN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 SANTA MONICA BLVD, #855 W, SANTA MONICA, CA 90404-2171
(310) 829-7728
(310) 829-1403
Mailing address
2001 SANTA MONICA BLVD, #855 W, SANTA MONICA, CA 90404-2171
(310) 829-7728
(310) 829-1403
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A26348
CA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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