Individual
DMITRY P. FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1415 E. KINCAID STREET, MOUNT VERNON, WA 98274
(360) 416-5750
(360) 416-5758
Mailing address
1400 E. KINCAID STREET, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OP60097298
WA
207R00000X
Internal Medicine Physician
SL0454
NV
208M00000X
Hospitalist Physician
OP60097298
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
263621
LABOR & INDUSTRIES
WA
Enumeration date
02/25/2008
Last updated
11/09/2010
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