| William L. Phelps Ii Md Pc | |
|
101 W. Duval Rd. Suite 101 Green Valley AZ 85614-5280 | |
| (520) 625-2950 | |
| Not Available |
| Full Name | William L. Phelps Ii Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 W. Duval Rd., Green Valley, Arizona |
| Authorized Official Name and Position | William Lee Phelps (PRESIDENT) |
| Authorized Official Contact | 5206252950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William L. Phelps Ii Md Pc 101 W. Duval Rd. Suite 101 Green Valley AZ 85614-5280 Ph: () - | William L. Phelps Ii Md Pc 101 W. Duval Rd. Suite 101 Green Valley AZ 85614-5280 Ph: (520) 625-2950 |
| NPI Number | 1063464014 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 11/15/2007 |
| Medicare PECOS PAC ID | 5890786107 |
|---|---|
| Medicare Enrollment ID | O20040524000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063464014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 24727 (Arizona) | Primary |
| Provider Name | Monica E M Eccles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134683071 PECOS PAC ID: 5890126874 Enrollment ID: I20200506002166 |
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