Individual provider · Type 1 NPI
Corey Jay Feldman, PA
Medical Physician Assistant · Idaho Springs, CO
NPI number
1093040677
Active
Practice location
115 15th Ave
Idaho Springs, CO 80452
Fax (303) 567-4169
Mailing address
PO Box 3243, 115 15th Ave
Idaho Springs, CO 80452-3243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 2897 (CO) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1093040677
Corey Jay Feldman, PA's National Provider Identifier is 1093040677, issued on Oct 15, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Springs, CO. The record was last updated on Oct 15, 2009.