Individual
DR. DAVID W. FEAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2825 SANTA MONICA BLVD, STE. 104, SANTA MONICA, CA 90404-2429
(310) 829-9935
(310) 829-1077
Mailing address
2825 SANTA MONICA BLVD, STE. 104, SANTA MONICA, CA 90404-2429
(310) 829-9935
(310) 829-1077
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A115519
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992932388
—
CA
Enumeration date
06/12/2009
Last updated
01/23/2017
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