Provider Demographics
NPI:1609972322
Name:FELDMAN, HOWARD STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:STEPHEN
Last Name:FELDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 W HIGHWAY 89A
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COTTONWOOD
Mailing Address - State:AZ
Mailing Address - Zip Code:86326-3754
Mailing Address - Country:US
Mailing Address - Phone:928-649-7990
Mailing Address - Fax:928-649-7989
Practice Address - Street 1:294 W HIGHWAY 89A
Practice Address - Street 2:SUITE 102
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-3754
Practice Address - Country:US
Practice Address - Phone:928-649-7990
Practice Address - Fax:928-649-7989
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11372207YX0602X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZD36827Medicare UPIN