Timothy E Phelan, M.d a Professional Medical Corporation
NPI #1659564730 in Folsom, California
Provider Information
- NPI Number
- 1659564730
- Entity Type
- Organization
- Organization Name
- Timothy E Phelan, M.d a Professional Medical Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 22, 2007
- Last Updated
- Mar 9, 2011
Practice Location
- Address
- 1621 CREEKSIDE DR
- Address 2
- 102
- City
- Folsom
- State
- California
- ZIP Code
- 95630-3493
- Phone
- (916) 984-7428
Authorized Official
- Name
- DR. TIMOTHY EDWIN PHELAN, M.D.
- Title
- DOCTOR
- Phone
- (916) 984-7428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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