Individual
DR. JAMES A. FELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 W 10TH ST, ROLLA, MO 65401-2904
(573) 364-4226
(573) 364-5093
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3B37
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201801107
—
MO
Enumeration date
11/20/2006
Last updated
07/17/2008
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