Male or Other

Richard C. Phelps D.O.

Psychiatry Physician in Boca Raton, FL(View on Map)

Full Name

Richard Cannon Phelps D.O.

NPI Number

1942490016

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/25/2007

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

OS12896

Contact
Information

Purpose

Mailing
Location

Address

7301 W PALMETTO PARK RD STE 204A
9980 CENTRAL PARK BLVD N STE 210

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33433-3456
33428-1703

Country

US
US

Telephone Number

(561) 342-8822
(561) 342-8822

Identifiers

Identifier

327877

Identifier State

SC

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/06/2020

Provider Address

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