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Jordan Phelps Valid NPI

Individual provider · Family Medicine Physician · Fishers, IN

NPI
1871118836
Type
Individual (Type 1)
Primary specialty
Family Medicine Physician (Family Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207Q00000X
License number
02007002A (IN)
Sex
Male
Sole proprietor
No
Enumerated
2020-06-15
Last updated
2024-02-16
Practice location
8890 E 116th St Ste 300
Fishers, IN 46038-2857
(314) 621-1500

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