MEDICARE: JAMES E FELTMAN CFA

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	246ZC0007X	Surgical Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0920360	OTHER	AZ	BLUE CROSS

General Provider Information

NPI Number	:	1649315805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES E FELTMAN CFA

Provider Business Mailing Address
First Line	:	PO BOX 32518
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85064-2518
Country	:	US
Telephone Number	:	480-205-3881
Fax Number	:	888-702-0252

Provider Business Practice Location Address
First Line	:	1715 E AURELIUS AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5507
Country	:	US
Telephone Number	:	480-205-3881
Fax Number	:	888-702-0252

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

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	09/22/2014

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