Individual
BRIAN PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 MAPLE ST, ASHLAND, OR 97520-1552
(541) 201-4100
Mailing address
280 MAPLE ST, ASHLAND, OR 97520-1552
(541) 201-4100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A86794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023507000
BCBS
OR
05
—
213097
—
OR
05
—
8475311
—
WA
05
—
XPY205396
—
CA
Enumeration date
10/12/2006
Last updated
02/21/2011
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