Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 21256 | AZ |
NPI | 1073506077 |
---|---|
Provider Name | Dr. Isabel Feinstein |
First Address | Phoenix, AZ 85016 |
Second Address | Glendale, AZ 85306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 24/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
881434 | (05) | AZ |
A96545 | (02) | |
A96545 | (02) | AZ |
AZ0758580 | BCBS PROVIDER ID (01) | AZ |