Individual
DR. LELAND PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
105 W MAIN ST, REXBURG, ID 83440-1826
(208) 356-6772
Mailing address
105 W MAIN ST, REXBURG, ID 83440-1826
(208) 356-6772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
9183824-1202
UT
111N00000X
Chiropractor
Primary
CHIA-1826
ID
Other
Enumeration date
07/27/2016
Last updated
02/12/2024
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