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Individual

COREY JAY FELDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
115 15TH AVE, IDAHO SPRINGS, CO 80452
(303) 567-2668
(303) 567-4169
Mailing address
PO BOX 3243, 115 15TH AVE, IDAHO SPRINGS, CO 80452-3243
(303) 567-2668
(303) 567-4169

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2897
CO

Other

Enumeration date
10/15/2009
Last updated
10/15/2009
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