Individual
JACOB STEPHEN FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
57661-20
WI
207Y00000X
Otolaryngology Physician
Primary
64925
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137469
—
AZ
Enumeration date
06/29/2010
Last updated
12/04/2025
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