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Timothy E Phelan, M.d A Professional Medical Corporation
Specialist in Folsom, California
NPI 1659564730

Timothy E Phelan, M.d A Professional Medical Corporation is a Specialist based in Folsom, CA. Timothy E Phelan, M.d A Professional Medical Corporation practices in Folsom, CA. The NPI Number for Timothy E Phelan, M.d A Professional Medical Corporation is 1659564730 and holds a License No. G084901 (California).

The current practice location address for Timothy E Phelan, M.d A Professional Medical Corporation is 1621 Creekside Dr, Folsom, CA and can be reached out via phone at 916-984-7428 and via fax at 916-984-0157.

Location: 1621 Creekside Dr, Folsom, CA, 95630-3493
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659564730
Provider Name
Timothy E Phelan, M.d A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
1621 Creekside Dr, Folsom, CA, 95630-3493
Phone Number
916-984-7428
Fax Number
916-984-0157
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1621 Creekside Dr
City
Folsom
State
California
Zip
95630-3493
Phone Number
916-984-7428
Fax Number
916-984-0157
person
Provider Business Mailing Address Details
Address
1621 Creekside Dr
City
Folsom
State
California
Zip
95630-3493
Phone Number
916-984-7428
Fax Number
916-984-0157
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G084901 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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