Individual
DAVID W PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
401 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8797
(620) 223-2200
Mailing address
401 WOODLAND HILLS BLVD, FORT SCOTT, KS 66701-8797
(620) 223-2200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
04-17329
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020223
BLUE CROSS, PC
KS
Enumeration date
08/14/2006
Last updated
07/09/2007
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