Healthcare Provider Details

I. General information

NPI: 1649315805
Provider Name (Legal Business Name): JAMES E FELTMAN CFA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 09/22/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 E AURELIUS AVE
PHOENIX AZ
85020-5507
US

IV. Provider business mailing address

PO BOX 32518
PHOENIX AZ
85064-2518
US

V. Phone/Fax

Practice location:
  • Phone: 480-205-3881
  • Fax: 888-702-0252
Mailing address:
  • Phone: 480-205-3881
  • Fax: 888-702-0252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: