=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073506077
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ISABEL FEINSTEIN MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/24/2005
-----------------------------------------------------
Last Update Date | 01/23/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10503 WEST THUNDERBIRD BLVD SUITE 104
-----------------------------------------------------
City | SUN CITY
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85351-3047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-975-1660
-----------------------------------------------------
Fax | 623-584-4282
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14510 W SHUMWAY DR STE 101
-----------------------------------------------------
City | SUN CITY WEST
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85375-5815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 623-975-1660
-----------------------------------------------------
Fax | 623-584-4282
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Y00000X
-----------------------------------------------------
Taxonomy Name | Otolaryngology Physician
-----------------------------------------------------
License Number | 21256
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------