Thayer Starr Phelan, MD
Emergency Medicine in Winslow, AZ. Individual provider (NPI-1).
NPI number1821209354
StatusActive
Last updated in NPPESDec 10, 2025
Details
- NPI
- 1821209354
- Entity type
- Individual (NPI-1)
- Name
- Thayer Starr Phelan
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 25, 2007
- Certification date
- Dec 10, 2025
- Last updated
- Dec 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | DR.0053427 | CO | Yes |
| 207P00000X | Emergency Medicine | 75374 | AZ | |
| 207P00000X | Emergency Medicine | 01098090A | IN |
Practice location
1501 N Williamson AveWinslow, AZ 86047-2735
Phone 928-289-4691
Mailing address
250 N Shadeland AveIndianapolis, IN 46219-4959
Other practice locations
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Bloomington, IN 47408-9059
Phone 812-353-9515
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