Provider Demographics
NPI:1164040960
Name:FEIVOR, DANIEL SCOTT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:SCOTT
Last Name:FEIVOR
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:6900 FOREST AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-1730
Mailing Address - Country:US
Mailing Address - Phone:804-249-8888
Mailing Address - Fax:804-249-7246
Practice Address - Street 1:6900 FOREST AVE STE 310
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1730
Practice Address - Country:US
Practice Address - Phone:804-249-8888
Practice Address - Fax:804-249-7246
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2023-06-15
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant