Individual
MR. BENJAMIN H FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 POLE LINE RD W STE 2B, TWIN FALLS, ID 83301-4270
(208) 814-7350
(208) 732-8508
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
53719-020
WI
207Y00000X
Otolaryngology Physician
57030
AZ
207Y00000X
Otolaryngology Physician
Primary
M-17665
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467998
—
AZ
01
—
57030
AZ DEPARTMENT OF HEALTH SERVICES
AZ
05
—
M-17665
—
ID
Enumeration date
07/21/2008
Last updated
02/14/2024
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