Individual
THAYER STARR PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1501 N WILLIAMSON AVE, WINSLOW, AZ 86047-2735
(928) 289-4691
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01098090A
IN
207P00000X
Emergency Medicine Physician
75374
AZ
207P00000X
Emergency Medicine Physician
Primary
DR.0053427
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09892
—
LA
Enumeration date
05/25/2007
Last updated
12/10/2025
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