Individual
CHARLES PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5842 MAIN ST, WILLIAMSVILLE, NY 14221-5710
(716) 626-5224
(716) 626-1447
Mailing address
5842 MAIN ST, WILLIAMSVILLE, NY 14221-5710
(716) 626-5224
(716) 626-1447
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012192
NY
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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