Organization Name: | HARVEY J. FEATHERSTONE, MD, PC |
NPI Number: | 1538314745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARVEY J. FEATHERSTONE (PRESIDENT) |
Mailing Address: | 517 Highway 380 Christ Community Church Capitan |
State: | NM US |
Postal Code: | 883160667 |
Phone Number: | 5753541515 |
Fax Number: | 5753541815 |
NPI Enumeration Date: | 12/02/2008 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 91-45 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |