MEDICARE: DR. GUY WILLIAM FELDER M.D.

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	207R00000X	Internal Medicine Physician	R8J13	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00648706	OTHER	MO	RR MEDICARE

General Provider Information

NPI Number	:	1427159714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUY WILLIAM FELDER M.D.

Provider Business Mailing Address
First Line	:	10433 STARHILL ACRES DR
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-3243
Country	:	US
Telephone Number	:	314-525-1900
Fax Number	:	314-525-4148

Provider Business Practice Location Address
First Line	:	5640C TELEGRAPH RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63129-4243
Country	:	US
Telephone Number	:	314-293-4413
Fax Number	:

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	11/13/2025

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