Individual
JULIE J PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13 RAILROAD SQ, WATERVILLE, ME 04901-6139
(207) 873-1181
(207) 873-1186
Mailing address
13 RAILROAD SQ, WATERVILLE, ME 04901-6139
(207) 873-1181
(207) 873-1186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
015836
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000206031
—
ME
Enumeration date
10/19/2005
Last updated
11/09/2011
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