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Individual

DR. STEVE R FELLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
7507 CUSTER RD W, TACOMA, WA 98499-8138
(253) 472-6530
(253) 472-6693
Mailing address
7507 CUSTER RD W, TACOMA, WA 98499-8138
(253) 472-6530
(253) 472-6693

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO0000317
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD0000317
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1037332
WA
01
480005031
RAILROAD MEDICARE
WA
Enumeration date
05/27/2005
Last updated
11/30/2010
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