Individual
HARRY FELTON
Active
Individual
HARRY FELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
83
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438724
—
MT
01
—
91143
BCBX
MT
Enumeration date
10/31/2005
Last updated
10/21/2009
Update your record
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