Individual
BURT GARY FEUERSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10008 N 34TH PL, PHOENIX, AZ 85028-3936
(415) 730-2526
Mailing address
10008 N 34TH PL, PHOENIX, AZ 85028-3936
(415) 730-2526
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
G44542
CA
208D00000X
General Practice Physician
Primary
TP01042
AZ
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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