Individual
ALFRED LORENZO PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
2041 GEORGIA AVENUE, NW, SIUTE A, WASHINGTON, DC 20060
(202) 865-1183
(202) 865-3039
Mailing address
2041 GEORGIA AVENUE, NW, 3400, WASHINGTON, DC 20060
(202) 865-6679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005138
MD
363A00000X
Physician Assistant
Primary
PA030795
DC
363AM0700X
Medical Physician Assistant
C0005138
MD
363AS0400X
Surgical Physician Assistant
C0005138
MD
Other
Enumeration date
08/03/2013
Last updated
10/25/2024
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