Individual
MR. JOHN A FELDENZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
RR 2 BOX 169E, DAWKINS DRIVE, LEWISBURG, WV 24901-9390
(304) 645-8095
(304) 645-8094
Mailing address
RR 2 BOX 169E, DAWKINS DRIVE, LEWISBURG, WV 24901-9390
(304) 645-8095
(304) 645-8094
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101043696
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010019303
—
VA
05
—
010022681
—
VA
Enumeration date
09/12/2005
Last updated
12/17/2012
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