Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC001823L | PA |
Y | 222Z00000X | Podiatrist | SC001823L | PA |
NPI | 1013057850 |
---|---|
Provider Name | Dr. David P Feller |
First Address | Butler, PA 16002-7908 |
Second Address | Butler, PA 16002-7908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 08/07/2007 |