Individual
MR. WILLIAM JORDAN PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
VA CLINIC, 1607 ST JAMES COURT, TALLAHASSEE, FL 32308
(850) 878-0191
(850) 219-2704
Mailing address
9601-20 MICCOSUKEE RD, TALLAHASSEE, FL 32309-9662
(850) 878-0191
(850) 219-2704
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9103039
FL
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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