MEDICARE: DR. RONALD A FEIGIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	1220	AK

General Provider Information

NPI Number	:	1568435113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD A FEIGIN MD

Provider Business Mailing Address
First Line	:	4201 TUDOR CENTRE DR
Second Line	:	SUITE 303
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5904
Country	:	US
Telephone Number	:	907-561-1847
Fax Number	:	907-562-7876

Provider Business Practice Location Address
First Line	:	4201 TUDOR CENTRE DR
Second Line	:	SUITE 303
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-5904
Country	:	US
Telephone Number	:	907-561-1847
Fax Number	:	907-562-7876

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	07/08/2007

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