NATHANIEL M PHELAN

JOPLIN, MO
NPI1225327422
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: MO  2018014111)
Additional Taxonomies207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: MO  2018014111)
207NS0135X Dermatology, Procedural Dermatology
(Licence: MO  2018014111)
Enumeration Date2011-03-29
Last Update Date2024-12-27
Business Address
NATHANIEL M PHELAN MD
520 E 32ND ST
JOPLIN, MO 64804-3904
Phone number: 417-622-0293
Mailing Address
NATHANIEL M PHELAN MD
520 E 32ND ST
JOPLIN, MO 64804-3904
Phone number: 417-622-0293