Healthcare Provider Details

I. General information

NPI: 1295179976
Provider Name (Legal Business Name): THOMAS IAN PHELPS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W 5TH AVE
SPOKANE WA
99204-2803
US

IV. Provider business mailing address

101 W 8TH AVE
SPOKANE WA
99204-2307
US

V. Phone/Fax

Practice location:
  • Phone: 509-473-5800
  • Fax:
Mailing address:
  • Phone: 509-474-3344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD60939885
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: