Individual
DR. STEPHANIE FAY PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2429 W COMMERCE ST STE A, OCEAN SPRINGS, MS 39564-3124
(228) 875-1141
(228) 875-6885
Mailing address
2429 W COMMERCE ST STE A, OCEAN SPRINGS, MS 39564-3124
(228) 875-1141
(228) 875-6885
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
80145
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119566
—
MS
Enumeration date
02/25/2007
Last updated
02/28/2022
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