Organization
CRAIG M. PHELPS, D.O., FAOASM,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MATHEW PHELPS D.O. (OWNER/PRESIDIENT)
(602) 588-4040
Entity
Organization
Contact information
Practice address
4344 W BELL RD, SUITE102, GLENDALE, AZ 85308-3589
(602) 588-4040
(602) 588-4034
Mailing address
4344 W BELL RD, SUITE102, GLENDALE, AZ 85308-3589
(602) 588-4040
(602) 588-4034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2158
AZ
Other
Enumeration date
10/12/2007
Last updated
11/09/2007
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