Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAX DWIGHT PHELPS, PH00009411
ActiveMAX DWIGHT PHELPS, PH00009411 is a Geriatric Pharmacist healthcare provider located in KENT, Washington. NPI 1427693258 is currently active in the NPPES registry. Verify at CMS.
Geriatric Pharmacist · KENT, WA
Registration Details
- NPI Number
- 1427693258
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2019 (6.7550967424173 yrs)
- Last Updated
- Nov 15, 2019
- License
-
PH00009411 (WA)
Practice Information
- Address
-
25316 74TH AVE S STE 105KENT, WA, 980326022Browse WA providers · Browse ZIP 98032
- Phone
- 8005628386
- Fax
- 8004217772
- Primary Specialty
-
Geriatric Pharmacist
1835G0303X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.