Individual
ROGER PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 EL CERRITO AVE, PIEDMONT, CA 94611-4103
(510) 874-1416
Mailing address
325 EL CERRITO AVE, PIEDMONT, CA 94611-4103
(510) 874-1416
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
C41095
CA
Other
Enumeration date
08/30/2006
Last updated
09/22/2015
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