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NPI Code Detail

MEDICARE: DR. STACEY L REMCHUK FEUER MD

MEDICARE: DR. STACEY L REMCHUK FEUER 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
1207L00000XAnesthesiology Physician35036AZ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00444515OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134110885
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STACEY L REMCHUK FEUER MD
Provider Business Mailing Address
First Line : PO BOX 41150
Second Line :
City : MESA
State : AZ
Zip : 85274-1150
Country : US
Telephone Number : 480-425-2160
Fax Number : 480-351-8797
Provider Business Practice Location Address
First Line : 2421 E SOUTHERN AVE STE 7
Second Line :
City : TEMPE
State : AZ
Zip : 85282-7612
Country : US
Telephone Number : 480-425-2160
Fax Number : 480-351-8797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 05/08/2023

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