Phelps, David C

Phelps, David C is an individual health care provider with primary practice located at 5901 Harper Dr Ne Pmg Urgent Care, Albuquerque NM 87109-3587. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Phelps, David C can be contacted via phone (505) 823-8233.

Contact Information

Primary practice address
5901 Harper Dr Ne Pmg Urgent Care Albuquerque NM 87109-3587
Phone: (505) 823-8233
Fax: (505) 823-8059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD26058 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD2013-0032 New Mexico

Profile Details

NPI number 1336127836
LBN Legal business name Phelps, David C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Nov 9th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336127836 NPPES
New Mexico MEDICAID 22371061
New Mexico MEDICAID 027892

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