Doctor Name: | DAVID DANIEL FEIST |
NPI Number: | 1003243437 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 5440 |
Business Practice Address: | 1242 E Mckellips Rd Ste. 103 Mesa, AZ - 852032763 |
Business Phone Number: | 4809624269 |
Business Fax Number: | 4809623702 |
Mailing Address: | 14275 N 87th St, Ste 110 SCOTTSDALE |
State: | AZ |
Postal Code: | 852603696 |
Phone Number: | 4809058485 |
Fax Number: | 4809057274 |
NPI Enumeration Date: | 09/30/2013 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 5440 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |