Individual provider · Type 1 NPI

Paula Brutz Phelps, PA

Medical Physician Assistant · Pocatello, ID

NPI number 1477690899 Active

Practice location

1151 Hospital Way, Suite D, Suite 201
Pocatello, ID 83201-5091

Mailing address

PO Box 4908
Pocatello, ID 83205-4908

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-166 (ID)

Medical Physician Assistant: Definition to come...

15 other providers at this address

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About NPI 1477690899

Paula Brutz Phelps, PA's National Provider Identifier is 1477690899, issued on Feb 1, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Jun 19, 2018.