J Russell Phelps Do PC

NPI #1083717227 in Mesa, Arizona

Provider Information

NPI Number: 1083717227
Entity Type: Organization
Organization Name: J Russell Phelps Do PC
Primary Specialty: Hospitalist
Enumeration Date: Sep 6, 2006
Last Updated: Aug 17, 2008

Practice Location

Address: 2345 E UNIVERSITY DR
Address 2: STE 1
City: Mesa
State: Arizona
ZIP Code: 85213
Phone: (480) 834-8005

Authorized Official

Name: MR. DAVID L LUCAS
Title: BILLING DEPT
Phone: (480) 830-2054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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