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Individual

ROBERT J FEIWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
121 SOTOYOME ST, SANTA ROSA, CA 95405-4823
(707) 546-4062
(707) 525-4097
Mailing address
PO BOX 5651, ORANGE, CA 92863-5651
(714) 571-5000
(714) 571-5055

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
G73595
CA
2085R0202X
Diagnostic Radiology Physician
Primary
G73595
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G735950
CA
Enumeration date
08/01/2006
Last updated
05/19/2014
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