Individual
DR. JOSEPH MICHAEL FEAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1135 S MAIN ST, SUITE B, LAS CRUCES, NM 88005-2946
(575) 525-4000
(575) 525-4040
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
328128
LA
207Q00000X
Family Medicine Physician
25MB07815200
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A-1549-10
NM
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MB07815200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48328286
—
NM
Enumeration date
07/04/2006
Last updated
10/04/2022
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