Paula Brutz Phelps in Pocatello - Medical
Paula Brutz Phelps - NPI 1477690899
Paula Brutz Phelps is a Medical in Pocatello, Idaho. Paula Brutz Phelps practices all healthcare services and medical treatments related to Medical. The NPI Number for Paula Brutz Phelps is 1477690899. The last update date is 2018-06-19.
Paula Brutz Phelps's current location address is 1151 Hospital Way, Pocatello, Idaho. You can contact this provider via phone number 2084782472. The mailing address for Paula Brutz Phelps is 1151 Hospital Way, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Paula Brutz Phelps |
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Address | 1151 Hospital Way, Pocatello, Idaho |
Phone Number | 2084782472 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1477690899 |
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Provider Enumeration Date | 2007-02-01 |
Last Updated Date | 2018-06-19 |
Provider Mailing Address Detail
Address | 1151 Hospital Way |
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City | Pocatello |
State | Idaho (ID) |
Post Code | 8320150910 |
Phone Number | 2084782472 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | PA-166 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
PAJ81 | ID | BCS | |
4392500 | ID | -- |
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What is the Paula Brutz Phelps's unique identification number?
The Paula Brutz Phelps has been assigned the NPI (National Provider Identifier) Number 1477690899 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Paula Brutz Phelps is physically located?
The Paula Brutz Phelps is physically situated at the following address: 1151 Hospital Way, Pocatello, ID, 8320150910.
What is the Paula Brutz Phelps's specialty and taxonomy code?
The Paula Brutz Phelps's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Paula Brutz Phelps receive its 1477690899 assignment from the Centers for Medicare & Medicaid Services?
The Paula Brutz Phelps was assigned its 1477690899 by the Centers for Medicare & Medicaid Services on 2007-02-01.
As of what date were the Paula Brutz Phelps's details last updated?
The information pertaining to the Paula Brutz Phelps, including its address, specialty, and other details, was most recently updated on 2018-06-19.