Individual
SCOTT MARTIN FEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
001661
IA
363AS0400X
Surgical Physician Assistant
Primary
0596
SD
363AS0400X
Surgical Physician Assistant
1340
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6827960
—
SD
Enumeration date
02/17/2006
Last updated
11/12/2015
Update your record
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