Individual
DR. MARTIN ALAN FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
750 E THUNDERBIRD RD STE 1-3, PHOENIX, AZ 85022-5306
(602) 230-7373
(602) 218-6383
Mailing address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
(602) 230-5105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2104
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0179654
DEPT OF LABOR & INDUSTRIE
AZ
01
—
1072107
CIGNA
AZ
01
—
1Z8791
HEALTHNET
AZ
01
—
22072104
ICA
AZ
05
—
265711
—
AZ
01
—
4240133
AETNA
AZ
01
—
860676047
TAX ID
AZ
01
—
AZ0062880
BCBS OF AZ
AZ
Enumeration date
08/16/2005
Last updated
11/18/2021
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