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Individual
DR. GARY ELLIS FELDMAN
Active
Individual
DR. GARY ELLIS FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G26533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G26533
STATE LICENSE
CA
Enumeration date
01/08/2008
Last updated
01/08/2008
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