Individual
PHAEDRA A FEGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 ANGLERS DR, SUITE 201, STEAMBOAT SPRINGS, CO 80487-8840
(970) 871-1323
Mailing address
501 ANGLERS DR, SUITE 201, STEAMBOAT SPRINGS, CO 80487-8840
(970) 871-1323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43109
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02050536
—
CO
01
—
FE670555
BLUE CROSS
CO
Enumeration date
08/11/2006
Last updated
01/10/2008
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