Provider profile

Individual

Clark David Phelps

Radiology in Traverse City, MI. NPI 1437173630, listed in the CMS NPI Registry since 07/27/2006. Bills Medicare.

NPI 1437173630Specialty RadiologyEnumerated 07/27/2006
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Registry and Medicare facts

Practice location
1105 Sixth St, Traverse City, MI 49684
CMS NPI Registry
Phone
(231) 935-0497
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
07/27/2006
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
6,873 Part B
CMS Medicare 2024

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