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Individual

JAMES MICHAEL FEENEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD FACC

Contact information

Practice address
395 W BULLDOG BLVD, PROVO, UT 84604-3311
(801) 357-7081
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G45181
CA
207RI0011X
Interventional Cardiology Physician
Primary
11883316-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0088110
CA
01
ZZZ60314Z
BLUE SHIELD GROUP #
CA
Enumeration date
01/18/2006
Last updated
08/07/2024
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