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Individual
BRENT ANTHONY FEUDALE
Active
Individual
BRENT ANTHONY FEUDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
51747
AZ
208000000X
Pediatrics Physician
A135002
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
51747
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
A135002
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
05/17/2012
Last updated
08/01/2022
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