NPI | 1891189809 |
---|---|
Doing Business As | PHELPS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | MARK D HARREL CEO 308-995-2211 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2015-03-27 |
Last Update Date | 2019-06-06 |